Provider Demographics
NPI:1316234487
Name:ANGELO S. GIARRATANO, D.P.M.
Entity type:Organization
Organization Name:ANGELO S. GIARRATANO, D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUS/OFF MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEL-GIARRATANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-544-6505
Mailing Address - Street 1:2037 JERRY MURPHY RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81001-1250
Mailing Address - Country:US
Mailing Address - Phone:719-544-6505
Mailing Address - Fax:719-546-8644
Practice Address - Street 1:2037 JERRY MURPHY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81001-1250
Practice Address - Country:US
Practice Address - Phone:719-544-6505
Practice Address - Fax:719-546-8644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty