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NPI Code Detail

MEDICARE: MICHAEL JOSEPH GIORDANO MD

MEDICARE: MICHAEL JOSEPH GIORDANO MD
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
1207T00000XNeurological Surgery Physician039260CT

General Provider Information

NPI Number : 1609879519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JOSEPH GIORDANO MD
Provider Business Mailing Address
First Line : 65 KANE ST
Second Line :
City : WEST HARTFORD
State : CT
Zip : 06119-2110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 263 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06030-0001
Country : US
Telephone Number : 860-679-4228
Fax Number : 860-679-1419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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