Provider Demographics
NPI:1497087936
Name:GIORGIO, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:GIORGIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 CHERRY ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-1235
Mailing Address - Country:US
Mailing Address - Phone:617-467-4909
Mailing Address - Fax:
Practice Address - Street 1:71 CHERRY ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-1235
Practice Address - Country:US
Practice Address - Phone:617-467-4909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist