1295850063 NPI number — DR. MICHAEL ANTHONY GIULIANO MD

Table of content: DR. MICHAEL ANTHONY GIULIANO MD (NPI 1295850063)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295850063 NPI number — DR. MICHAEL ANTHONY GIULIANO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GIULIANO
Provider First Name:
MICHAEL
Provider Middle Name:
ANTHONY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GIULIANO
Provider Other First Name:
MICHAEL
Provider Other Middle Name:
ANTHONY
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1295850063
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/20/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
261 JAMES ST
Provider Second Line Business Mailing Address:
SUITE 3G
Provider Business Mailing Address City Name:
MORRISTOWN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07960-6348
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-540-9492
Provider Business Mailing Address Fax Number:
973-540-0716

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
261 JAMES ST
Provider Second Line Business Practice Location Address:
SUITE 3G
Provider Business Practice Location Address City Name:
MORRISTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07960-6348
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-540-9492
Provider Business Practice Location Address Fax Number:
973-540-0716
Provider Enumeration Date:
03/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  25MA02532900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0804X , with the licence number: 25MA02532900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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