Provider Demographics
NPI:1003640673
Name:GIRALDI FOOT AND ANKLE LLC
Entity type:Organization
Organization Name:GIRALDI FOOT AND ANKLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FULVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRALDI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-221-3994
Mailing Address - Street 1:42 UNIVERSITY RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-1716
Mailing Address - Country:US
Mailing Address - Phone:732-221-3994
Mailing Address - Fax:
Practice Address - Street 1:42 UNIVERSITY RD
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-1716
Practice Address - Country:US
Practice Address - Phone:732-221-3994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty