Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 004999L | PA |
NPI | 1336109008 |
---|---|
Provider Name | Dr. Charles A. Giordano |
First Address | Bechtelsville, PA 19505-9517 |
Second Address | Sassamansville, PA 19472-0192 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2006 |
Last Update Date | 20/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U46675 | (02) | PA |