Provider Demographics
NPI:1013971035
Name:GIANTURCO, DANIEL PAUL (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:PAUL
Last Name:GIANTURCO
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 1:115 TERN CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-2988
Mailing Address - Country:US
Mailing Address - Phone:757-833-1677
Mailing Address - Fax:
Practice Address - Street 1:113 SIGNATURE WAY
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5966
Practice Address - Country:US
Practice Address - Phone:757-723-3549
Practice Address - Fax:757-723-2229
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010152417207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG10107Medicare UPIN
VA00X147V09Medicare PIN