Provider Demographics
NPI:1457034159
Name:GIFFI MEDICAL ASSOCIATES, LLC
Entity type:Organization
Organization Name:GIFFI MEDICAL ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GIFFI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:443-330-2042
Mailing Address - Street 1:PO BOX 611
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21769-0611
Mailing Address - Country:US
Mailing Address - Phone:443-330-2042
Mailing Address - Fax:
Practice Address - Street 1:5732 BUCKEYSTOWN PIKE STE 4
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-5181
Practice Address - Country:US
Practice Address - Phone:443-330-2042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center