1609842905 NPI number — CHRISTOPHER P GIULIANO MD

Table of content: CHRISTOPHER P GIULIANO MD (NPI 1609842905)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609842905 NPI number — CHRISTOPHER P GIULIANO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GIULIANO
Provider First Name:
CHRISTOPHER
Provider Middle Name:
P
Provider Name Prefix Text:
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:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609842905
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
132 CENTRAL ST
Provider Second Line Business Mailing Address:
STE 116
Provider Business Mailing Address City Name:
FOXBORO
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02035
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-543-6306
Provider Business Mailing Address Fax Number:
508-543-2976

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
132 CENTRAL ST
Provider Second Line Business Practice Location Address:
STE 116
Provider Business Practice Location Address City Name:
FOXBORO
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-543-6306
Provider Business Practice Location Address Fax Number:
508-543-2976
Provider Enumeration Date:
02/27/2006

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: 208000000X , with the licence number:  215823 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2011557 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 215823 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: J26559 . This is a "BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: AA2003 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7411482 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000232861603 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".




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