Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | OS003475L | PA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | OS003475L | PA |
NPI | 1275691982 |
---|---|
Provider Name | Peter P Giammanco |
First Address | Philadelphia, PA 19182-0933 |
Second Address | Elkins Park, PA 19027-1574 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 10/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000756102 | (05) | PA |
0047023 | AETNA HMO (01) | PA |
0047254000 | INDEPENDENCE BLUE CROSS (01) | PA |
1162861 | CIGNA (01) | PA |
126654 | HIGHMARK BLUE SHIELD (01) | PA |
1702 | BRAVO HEALTH (01) | PA |
30037433 | KEYSTONE MERCY (01) | PA |
4676005 | AETNA PPO (01) | PA |
483429 | COVENTRY HEALTH AMERICA (01) | PA |
597586 | MEDICARE GROUP (01) | PA |
B37412 | (02) | PA |
CD4829 | RR MEDICARE GROUP (01) | PA |
P00416091 | RR MEDICARE (01) | PA |