Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | ME99001 | FL |
N | 208200000X | Surgeon | 46581 | WI |
N | 208600000X | Surgeon | 46581 | WI |
Y | 208200000X | Surgeon | 66212 | GA |
Y | 208600000X | Surgeon | 66212 | GA |
N | 208200000X | Surgeon | ME99001 | FL |
N | 208600000X | Surgeon | ME99001 | FL |
NPI | 1326003930 |
---|---|
Provider Name | Joseph F Magliocca |
First Address | Atlanta, GA 30322-0001 |
Second Address | Atlanta, GA 30322-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 07/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
278805500 | (05) | FL |
34548100 | (05) | WI |
I12968 | (02) |