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General NPI Number Information
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NPI Number | 1982747648
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Entity Type | Organization
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Legal Business Name | CHARLES V. GIANNASIO, MD, PC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 900 LENMAR DR SUITE B
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City | BLUE BELL
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State | PA
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Zip | 19422-2000
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Country | US
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Telephone | 215-643-1135
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Fax | 215-643-0816
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Provider Business Mailing Address
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Address Line | 900 LENMAR DR SUITE B
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City | BLUE BELL
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State | PA
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Zip | 19422-2000
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Country | US
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Telephone | 215-643-1135
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Fax | 215-643-0816
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES V. GIANNASIO
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Credential | MD
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Telephone | 215-643-1135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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