Provider Demographics
NPI:1811962111
Name:GIUNTI, GENE JOSEPH (DO)
Entity type:Individual
Prefix:
First Name:GENE
Middle Name:JOSEPH
Last Name:GIUNTI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CHASE AVE
Mailing Address - Street 2:CENTER FOR HEALTH AND REHABILITATION
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4624
Mailing Address - Country:US
Mailing Address - Phone:207-872-4400
Mailing Address - Fax:207-872-4651
Practice Address - Street 1:30 CHASE AVE
Practice Address - Street 2:CENTER FOR HEALTH AND REHABILITATION
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4624
Practice Address - Country:US
Practice Address - Phone:207-872-4400
Practice Address - Fax:207-872-4651
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME01805208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
010424957OtherEMPLOY STANDARDS
060992OtherBCBS
010424957OtherTRICARE
6179031OtherCIGNA
ME1811962111Medicaid
010424957OtherCHAMPUS
ME288270099Medicaid
AA2004OtherHARVARD PILGRIM
010424957OtherSTANDARD TAX ID
3678813OtherAETNA
010424957OtherEMPLOY STANDARDS
010424957OtherTRICARE
ME0148Medicare ID - Type Unspecified