Provider Demographics
NPI:1750501292
Name:GIUNTA, ANGELO L
Entity Type:Individual
Prefix:
First Name:ANGELO
Middle Name:L
Last Name:GIUNTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 N 2ND ST REAR
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1564
Mailing Address - Country:US
Mailing Address - Phone:570-523-0822
Mailing Address - Fax:570-523-0846
Practice Address - Street 1:119 N 2ND ST REAR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1564
Practice Address - Country:US
Practice Address - Phone:570-523-0822
Practice Address - Fax:570-523-0846
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1275940001Medicare ID - Type UnspecifiedPROVIDER