Provider Demographics
NPI:1639446180
Name:GIUNTA, ANTHONY PHILIP JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:PHILIP
Last Name:GIUNTA
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 E STREET
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20522-0108
Mailing Address - Country:US
Mailing Address - Phone:202-663-1880
Mailing Address - Fax:
Practice Address - Street 1:2401 E STREET
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-6302
Practice Address - Country:US
Practice Address - Phone:202-663-1880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015355363A00000X
DCPA031106363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1429PAMedicaid
SCAA83539636Medicare PIN