Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC008719 | PA |
NPI | 1174556625 |
---|---|
Provider Name | Dr. Joseph Michael Fiorani |
First Address | Chadds Ford, PA 19317-7307 |
Second Address | Chadds Ford, PA 19317-7307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0007036523 | AETNA ID# (01) | PA |
2193689000 | BLUE CROSS/KEYSTONE ID# (01) | PA |
U89334 | (02) | PA |