Provider Demographics
NPI:1104936640
Name:GIGLIOTTI, PHILIP L (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:L
Last Name:GIGLIOTTI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6789 RIDGE RD
Mailing Address - Street 2:SUITYE 105
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5649
Mailing Address - Country:US
Mailing Address - Phone:440-842-4500
Mailing Address - Fax:440-842-4303
Practice Address - Street 1:6789 RIDGE RD
Practice Address - Street 2:SUITYE 105
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5649
Practice Address - Country:US
Practice Address - Phone:440-842-4500
Practice Address - Fax:440-842-4303
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH045342207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA80197Medicare UPIN