Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 0101033161 | VA |
NPI | 1720052319 |
---|---|
Provider Name | Dr. Anthony Michael Giordano |
First Address | Richmond, VA 23235-4730 |
Second Address | Richmond, VA 23226-3769 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 13/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6596592 | (05) | VA |
B08785 | (02) | VA |