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NPI Code Detail

MEDICARE: GINA AUCIELLO

MEDICARE:   GINA  AUCIELLO
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
1225700000XMassage Therapist0274061NY

General Provider Information

NPI Number : 1831576313
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA AUCIELLO
Provider Business Mailing Address
First Line : 2461 S BROADWAY
Second Line :
City : DENVER
State : CO
Zip : 80210-5008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 S DOWNING ST
Second Line :
City : DENVER
State : CO
Zip : 80210-5811
Country : US
Telephone Number : 303-733-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2015
Last Update Date : 05/04/2015

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Directions to “ GINA AUCIELLO ” Practice Location

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