MEDICARE: ALBERTO ANDREA GIARDINI DO

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	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	OS020760	PA

General Provider Information

NPI Number	:	1487212999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERTO ANDREA GIARDINI DO

Provider Business Mailing Address
First Line	:	4190 CITY AVE STE 330
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-1633
Country	:	US
Telephone Number	:	215-871-6425
Fax Number	:	215-871-6490

Provider Business Practice Location Address
First Line	:	4190 CITY AVE STE 330
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-1633
Country	:	US
Telephone Number	:	215-871-6425
Fax Number	:

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

Provider Enumeration Date	:	05/30/2019
Last Update Date	:	10/01/2022

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