Basic Information
| Provider Information | |||||||||
| NPI: | 1326041153 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GIANGIULIO | ||||||||
| FirstName: | DENNIS | ||||||||
| MiddleName: | JOSEPH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1600 RIVERSIDE CIR | ||||||||
| Address2: | |||||||||
| City: | EASTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180455671 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4845034500 | ||||||||
| FaxNumber: | 4845034501 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 RIVERSIDE CIR | ||||||||
| Address2: | |||||||||
| City: | EASTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180455671 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4845034500 | ||||||||
| FaxNumber: | 4845034501 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2005 | ||||||||
| LastUpdateDate: | 03/07/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | MD026446-E | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 0018488710001 | 05 | PA | MEDICAID |