Cory J Bongivengo

NPI #1912564543 in Tallmadge, Ohio

Provider Information

NPI Number: 1912564543
Entity Type: Individual
Name: Cory J Bongivengo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 20, 2019
Last Updated: Dec 12, 2025

Practice Location

Address: 30 NORTHWEST AVE # A-120
City: Tallmadge
State: Ohio
ZIP Code: 44278-1808
Phone: (330) 633-4187

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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