MEDICARE: JOSEPH GEORGE GAGLIOTI D.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC010706	PA
2	111N00000X	Chiropractor	F1-0000857	DE

General Provider Information

NPI Number	:	1013250075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH GEORGE GAGLIOTI D.C

Provider Business Mailing Address
First Line	:	3039 FOULK RD
Second Line	:
City	:	GARNET VALLEY
State	:	PA
Zip	:	19060-1701
Country	:	US
Telephone Number	:	502-882-7172
Fax Number	:	502-882-7151

Provider Business Practice Location Address
First Line	:	1400 PHILADELPHIA PIKE
Second Line	:	SUITE A4
City	:	WILMINGTON
State	:	DE
Zip	:	19809-1856
Country	:	US
Telephone Number	:	302-778-9996
Fax Number	:	302-296-0996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2013
Last Update Date	:	03/26/2015

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