Provider Demographics
NPI:1457398737
Name:GIARDINA, JOSEPH F (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:GIARDINA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 US ROUTE 1
Mailing Address - Street 2:STE W9B
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1322
Mailing Address - Country:US
Mailing Address - Phone:207-347-3033
Mailing Address - Fax:207-347-3090
Practice Address - Street 1:251 US ROUTE 1
Practice Address - Street 2:SUITEW9B
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1322
Practice Address - Country:US
Practice Address - Phone:207-347-3033
Practice Address - Fax:207-347-3090
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
100303OtherANTHEM PIN
MEME1124Medicare PIN