Provider Demographics
NPI:1699340422
Name:BORRIELLO, GIANNA MARIE
Entity type:Individual
Prefix:
First Name:GIANNA
Middle Name:MARIE
Last Name:BORRIELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GIANNA
Other - Middle Name:MARIE
Other - Last Name:BORRIELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3499 US 9 STE 2B
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-3277
Mailing Address - Country:US
Mailing Address - Phone:732-625-3166
Mailing Address - Fax:
Practice Address - Street 1:3499 US 9 STE 2B
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3277
Practice Address - Country:US
Practice Address - Phone:732-625-3166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant