Provider Demographics
NPI:1588478242
Name:DR GIORGIANNIS PODIATRY LLC
Entity type:Organization
Organization Name:DR GIORGIANNIS PODIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GIORGIANNI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:609-682-4190
Mailing Address - Street 1:505 PENN MANOR DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-2418
Mailing Address - Country:US
Mailing Address - Phone:609-682-4190
Mailing Address - Fax:
Practice Address - Street 1:505 PENN MANOR DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-2418
Practice Address - Country:US
Practice Address - Phone:609-682-4190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty