Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Histology |
246QH0600X |
| NPI # | 1104099019 |
| LBN Legal business name | STEVEN JOHN AVOLICINO |
| Authorized official | STEVEN AVOLICINO - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/11/2008 |
| Last updated | 06/23/2008 - About 18 years ago |
| Identifiers | n/a |
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