Individual
LOUIS BIVONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 MCHENRY RD STE 1200, ABERDEEN, MD 21001-2856
(410) 448-6400
(443) 843-5522
Mailing address
PO BOX 64134, BALTIMORE, MD 21264-4134
(667) 214-2714
(410) 448-6926
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
29668
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2015
Last updated
07/11/2025
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