Individual provider · Type 1 NPI

Gideon Bollino

Body Imaging Physician · Raleigh, NC

NPI number 1235524844 Active

Practice location

3949 Browning Pl
Raleigh, NC 27609-6536

Fax (919) 789-4461

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XMD469815 (PA)
Body Imaging Physician Primary 2085B0100X2021-00464 (NC)
Diagnostic Radiology Physician 2085R0202X2021-00464 (NC)

Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.

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About NPI 1235524844

Gideon Bollino's National Provider Identifier is 1235524844, issued on Mar 31, 2015. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Raleigh, NC. The record was last updated on Mar 29, 2022.