Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | MD474313 | PA |
NPI | 1215323944 |
---|---|
Provider Name | Dr. Gino Inverso |
First Address | Warminster, PA 18974-4521 |
Second Address | Warminster, PA 18974-4521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2015 |
Last Update Date | 25/08/2021 |