Provider Demographics
NPI:1104988690
Name:SANGUINETI, GIUSEPPE (MD)
Entity type:Individual
Prefix:
First Name:GIUSEPPE
Middle Name:
Last Name:SANGUINETI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GIUSEPPE
Other - Middle Name:
Other - Last Name:SANGUINETI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 64474
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4474
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-502-3877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD663582085R0001X
TXM30822085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH56153Medicare UPIN
TX8382B5Medicare ID - Type Unspecified
MDKR52Q992Medicare PIN