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NPI Code Detail

MEDICARE: JOSEPH V. GIANNOBILE, M.D., A PROFESSIONAL MEDICAL CORPORATION

MEDICARE: JOSEPH V. GIANNOBILE, M.D., A PROFESSIONAL MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology PhysicianMD.203247LA

General Provider Information

NPI Number : 1285951921
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH V. GIANNOBILE, M.D., A PROFESSIONAL MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 1806 AURORA ST
Second Line :
City : MONROE
State : LA
Zip : 71201-2102
Country : US
Telephone Number : 318-398-1989
Fax Number :
Provider Business Practice Location Address
First Line : 1806 AURORA ST
Second Line :
City : MONROE
State : LA
Zip : 71201-2102
Country : US
Telephone Number : 318-398-1989
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOSEPH VINCENT GIANNOBILE
Credential : M.D.
Telephone Number : 318-398-1989
Provider Enumeration Date : 04/20/2010
Last Update Date : 04/20/2010

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Directions to “JOSEPH V. GIANNOBILE, M.D., A PROFESSIONAL MEDICAL CORPORATION ” Practice Location

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