Provider Demographics
NPI:1457466559
Name:GIORGI, MARILYN VICTORIA (MD)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:VICTORIA
Last Name:GIORGI
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 PENN SQUARE EAST
Mailing Address - Street 2:9TH FLOOR NORTH TOWER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:267-425-9200
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:1201 LANGHORNE NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-710-2000
Practice Address - Fax:215-710-5801
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2018-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4280802080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030652620001Medicaid