Healthcare Provider Details

I. General information

NPI: 1689712606
Provider Name (Legal Business Name): ROBERT F GIULIANO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 11/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1849 S 15TH ST
PHILADELPHIA PA
19145-2301
US

IV. Provider business mailing address

1849 S 15TH ST
PHILADELPHIA PA
19145-2301
US

V. Phone/Fax

Practice location:
  • Phone: 215-629-1353
  • Fax: 215-629-1395
Mailing address:
  • Phone: 215-629-1353
  • Fax: 215-629-1395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KI0005X
TaxonomyClinical & Laboratory Immunology (Allergy & Immunology) Physician
License Number25MB06984800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberOS004431L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberC20004052
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: