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NPI Code Detail

MEDICARE: DEBORAH GIGLIO MSW, LCSW

MEDICARE:   DEBORAH  GIGLIO  MSW, LCSW
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
11041C0700XClinical Social Worker44SC05200600NJ

General Provider Information

NPI Number : 1407353337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH GIGLIO MSW, LCSW
Provider Business Mailing Address
First Line : 996 KEARNEY DR
Second Line :
City : NORTH BRUNSWICK
State : NJ
Zip : 08902-3227
Country : US
Telephone Number : 732-586-3593
Fax Number :
Provider Business Practice Location Address
First Line : 63 MILLTOWN RD
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-2378
Country : US
Telephone Number : 732-659-0683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2018
Last Update Date : 04/08/2018

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