Provider Demographics
NPI:1598868150
Name:GIARDINA, ANDREA CAMILLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:CAMILLE
Last Name:GIARDINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 RATZER RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-7704
Mailing Address - Country:US
Mailing Address - Phone:973-633-8440
Mailing Address - Fax:973-633-0772
Practice Address - Street 1:330 RATZER RD
Practice Address - Street 2:SUITE 4
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-7704
Practice Address - Country:US
Practice Address - Phone:973-633-8440
Practice Address - Fax:973-633-0772
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02315000208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics