Provider Demographics
NPI:1942651211
Name:GIULIANI, ROSANNA (LMT, MAC)
Entity Type:Individual
Prefix:
First Name:ROSANNA
Middle Name:
Last Name:GIULIANI
Suffix:
Gender:F
Credentials:LMT, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 BRIDGE RD
Mailing Address - Street 2:BOX 111
Mailing Address - City:CREAMERY
Mailing Address - State:PA
Mailing Address - Zip Code:19430-9900
Mailing Address - Country:US
Mailing Address - Phone:267-551-1118
Mailing Address - Fax:
Practice Address - Street 1:1117 BRIDGE RD
Practice Address - Street 2:BOX 111
Practice Address - City:CREAMERY
Practice Address - State:PA
Practice Address - Zip Code:19430-9900
Practice Address - Country:US
Practice Address - Phone:267-551-1118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG002556174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist