Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | C20004052 | DE |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS004431L | PA |
NPI | 1689712606 |
---|---|
Provider Name | Robert F Giuliano |
First Address | Philadelphia, PA 19145-2301 |
Second Address | Philadelphia, PA 19145-2301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 05/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000515503 | (05) | DE |
D75986 | (02) | PA |