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NPI Code Detail

MEDICARE: DR. MICHAEL LOUIS JULIANO MD

MEDICARE: DR. MICHAEL LOUIS JULIANO MD
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
1207P00000XEmergency Medicine Physician2012-01225NC
2207P00000XEmergency Medicine PhysicianVA0101234112VA

General Provider Information

NPI Number : 1790741601
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL LOUIS JULIANO MD
Provider Business Mailing Address
First Line : 600 BUSHNELL CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-7112
Country : US
Telephone Number : 757-467-0855
Fax Number :
Provider Business Practice Location Address
First Line : SENTARA ALBEMARLE MEDICAL CENTER
Second Line : 1144 N ROAD ST
City : ELIZABETH CITY
State : NC
Zip : 27909-3473
Country : US
Telephone Number : 252-384-4610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 01/24/2023

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