Provider Demographics
NPI:1326326836
Name:GIORDANO, JOSHUA CHARLES (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CHARLES
Last Name:GIORDANO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21543 WOODBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-2324
Mailing Address - Country:US
Mailing Address - Phone:586-489-9856
Mailing Address - Fax:
Practice Address - Street 1:3550 PINE GROVE AVE
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-1944
Practice Address - Country:US
Practice Address - Phone:810-989-2530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL2035491207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine