Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | C20008355 | DE |
N | 208000000X | Pediatrician | C2-0008355 | DE |
N | 208000000X | Pediatrician | C7-0003275 | DE |
N | 208000000X | Pediatrician | OT011401 | PA |
NPI | 1033241047 |
---|---|
Provider Name | Dr. Kathryn M. Giordano |
First Address | Rockland, DE 19723-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 19/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102244607 | (05) | PA |