Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25MA5823400 | NJ |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 40403 | AZ |
NPI | 1285704213 |
---|---|
Provider Name | Dr. Gregg Giannina |
First Address | Scottsdale, AZ 85255-9268 |
Second Address | Scottsdale, AZ 85258-2867 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 04/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8467307 | (05) | NJ |
G07336 | (02) | NJ |