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1194798983
EDWIN J POLVERINO
SALEM, VA
NPI
1194798983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0102037045)
Enumeration Date
2006-02-10
Last Update Date
2022-07-08
Business Address
Dr. EDWIN J POLVERINO D.O.
1935 W MAIN ST
SALEM, VA 24153-3109
Phone number: 540-387-0441
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Mailing Address
Dr. EDWIN J POLVERINO D.O.
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number:
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