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General NPI Number Information
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NPI Number | 1336670447
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Entity Type | Individual
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Provider Name | COURTNEY NICOLE GIORDANO M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 150 BERGEN ST
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City | NEWARK
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State | NJ
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Zip | 07103-2496
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Country | US
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Telephone | 973-972-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 111 WESTVIEW RD
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City | MONTCLAIR
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State | NJ
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Zip | 07043-2320
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Country | US
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Telephone | 310-567-2419
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA12582400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA12582400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 25MA12582400
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License Number State | NJ
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