Provider Demographics
NPI:1851929921
Name:GIANNESCHI, GARRETT (DO)
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:
Last Name:GIANNESCHI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1378 SCHINDLER DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-4937
Mailing Address - Country:US
Mailing Address - Phone:908-294-1161
Mailing Address - Fax:
Practice Address - Street 1:1378 SCHINDLER DR
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-4937
Practice Address - Country:US
Practice Address - Phone:908-294-1161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program