Provider Demographics
NPI:1124731864
Name:GIORGIO, ANTONIO (DC)
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:
Last Name:GIORGIO
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 ERBS QUARRY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9767
Mailing Address - Country:US
Mailing Address - Phone:717-696-5806
Mailing Address - Fax:
Practice Address - Street 1:1170 ERBS QUARRY RD STE 1
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-9767
Practice Address - Country:US
Practice Address - Phone:717-696-5806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-27
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor