Provider Demographics
NPI:1265464218
Name:GINA DEL GIUDICE MD PC
Entity Type:Organization
Organization Name:GINA DEL GIUDICE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:DEL GIUDICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-896-2505
Mailing Address - Street 1:PO BOX 6497
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648
Mailing Address - Country:US
Mailing Address - Phone:609-896-2505
Mailing Address - Fax:609-896-2530
Practice Address - Street 1:3100 PRINCETON PK BLDG 3
Practice Address - Street 2:SUITE D
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648
Practice Address - Country:US
Practice Address - Phone:609-896-2505
Practice Address - Fax:609-896-2530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0078310Medicaid
NJ0078310Medicaid