Healthcare Provider Details

I. General information

NPI: 1013971035
Provider Name (Legal Business Name): DANIEL PAUL GIANTURCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 SIGNATURE WAY
HAMPTON VA
23666-5966
US

IV. Provider business mailing address

115 TERN CT
YORKTOWN VA
23692-2988
US

V. Phone/Fax

Practice location:
  • Phone: 757-723-3549
  • Fax: 757-723-2229
Mailing address:
  • Phone: 757-833-1677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number010152417
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: