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NPI Profile for GAVIN L BORDOGNA in MONROEVILLE, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
163WC0200X |
| NPI Number | 1124607312 |
|
| Status | Active | |
| Credentials | RN,BSN | |
| Entity | Individual | |
| Enumeration date | 04/05/2021 | |
| Last updated | 04/05/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GAVIN L BORDOGNA
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GAVIN L BORDOGNA, RN,BSN