Healthcare Provider Details

I. General information

NPI: 1720024417
Provider Name (Legal Business Name): MICHAEL ALEXANDER GIUFFRIDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 HYDE PARK
DOYLESTOWN PA
18901-6605
US

IV. Provider business mailing address

312 HYDE PARK
DOYLESTOWN PA
18901-6605
US

V. Phone/Fax

Practice location:
  • Phone: 215-340-4900
  • Fax:
Mailing address:
  • Phone: 215-340-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberG89167
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD048553L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License NumberMD048553L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMD048553L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: