Healthcare Provider Details

I. General information

NPI: 1508861907
Provider Name (Legal Business Name): JOHN GIULIANO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WEST 10TH STREET
WILMINGTON DE
19801
US

IV. Provider business mailing address

1202 LOVERING AVE.
WILMINGTON DE
19806
US

V. Phone/Fax

Practice location:
  • Phone: 302-984-3380
  • Fax: 302-691-0572
Mailing address:
  • Phone: 302-543-6977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberC20002063
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: