Provider Demographics
NPI:1477725117
Name:BIGLIANI-CETKOWSKI, GIANNA MARIA
Entity Type:Individual
Prefix:
First Name:GIANNA
Middle Name:MARIA
Last Name:BIGLIANI-CETKOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GIANNA
Other - Middle Name:MARIA
Other - Last Name:BIGLIANI-MORENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:THREE BRIDGES
Mailing Address - State:NJ
Mailing Address - Zip Code:08887-0310
Mailing Address - Country:US
Mailing Address - Phone:908-806-2645
Mailing Address - Fax:908-806-5228
Practice Address - Street 1:743 ALEXANDER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6328
Practice Address - Country:US
Practice Address - Phone:609-419-0455
Practice Address - Fax:609-419-0023
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01259900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ124320N52Medicare PIN