Healthcare Provider Details

I. General information

NPI: 1649487547
Provider Name (Legal Business Name): STEPHANIE A GIORLANDO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 PARKERS LAND
ALEXANDRIA VA
22334-0001
US

IV. Provider business mailing address

2501 PARKERS LAND
ALEXANDRIA VA
22334-0001
US

V. Phone/Fax

Practice location:
  • Phone: 410-793-0791
  • Fax: 410-793-0809
Mailing address:
  • Phone: 410-793-0791
  • Fax: 410-793-0809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081H0002X
TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
License Number0102036891
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: