Provider Demographics
NPI:1417961574
Name:GIAMPA, JOSEPH D (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:GIAMPA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8315
Mailing Address - Country:US
Mailing Address - Phone:508-875-9693
Mailing Address - Fax:
Practice Address - Street 1:188 CONCORD ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8315
Practice Address - Country:US
Practice Address - Phone:508-875-9693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA168452Medicaid
MA168452Medicaid