Provider Demographics
NPI:1982618609
Name:GIACCIO, ANNE F (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:F
Last Name:GIACCIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 W WESTMORELAND RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4035
Mailing Address - Country:US
Mailing Address - Phone:215-834-9120
Mailing Address - Fax:
Practice Address - Street 1:9380 FORESTWOOD LN STE B
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4735
Practice Address - Country:US
Practice Address - Phone:703-420-8992
Practice Address - Fax:336-623-2742
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-01945207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology