Provider Demographics
NPI:1851334650
Name:DEL GIORNO, LOUIS JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:JOHN
Last Name:DEL GIORNO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 AIKENS CTR
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25404-6204
Mailing Address - Country:US
Mailing Address - Phone:304-267-2964
Mailing Address - Fax:304-267-1494
Practice Address - Street 1:329 AIKENS CTR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-6204
Practice Address - Country:US
Practice Address - Phone:304-267-2964
Practice Address - Fax:304-267-1494
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV16605207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0053057000Medicaid
0701751Medicare ID - Type Unspecified
WV0053057000Medicaid