Provider Demographics
NPI:1922474121
Name:JOHN GIUGLIANO
Entity Type:Organization
Organization Name:JOHN GIUGLIANO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIUGLIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-453-9222
Mailing Address - Street 1:17 BRYN MAWR AVE
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3110
Mailing Address - Country:US
Mailing Address - Phone:610-453-9222
Mailing Address - Fax:
Practice Address - Street 1:17 BRYN MAWR AVE
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3110
Practice Address - Country:US
Practice Address - Phone:610-453-9222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW013307305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service