Provider Demographics
NPI:1124188966
Name:GIALLONGO, ROBERT BRUCE (FNP, MPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:BRUCE
Last Name:GIALLONGO
Suffix:
Gender:M
Credentials:FNP, MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9510 TIRANA PL
Mailing Address - Street 2:
Mailing Address - City:DULLES
Mailing Address - State:VA
Mailing Address - Zip Code:20189-9510
Mailing Address - Country:US
Mailing Address - Phone:355-424-7285
Mailing Address - Fax:355-434-0172
Practice Address - Street 1:2401 E STREET NW
Practice Address - Street 2:M,MED,QI, SA-1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-0102
Practice Address - Country:US
Practice Address - Phone:202-663-2453
Practice Address - Fax:202-663-3247
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA471337363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily