Provider Demographics
NPI:1477622876
Name:GIUGLIANOTTI, MARY BETH (DC)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:BETH
Last Name:GIUGLIANOTTI
Suffix:
Gender:F
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:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:ZIEGLERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19492-0151
Mailing Address - Country:US
Mailing Address - Phone:610-287-7475
Mailing Address - Fax:610-287-7484
Practice Address - Street 1:1134 GRAVEL PIKE
Practice Address - Street 2:
Practice Address - City:ZIEGLERVILLE
Practice Address - State:PA
Practice Address - Zip Code:19492
Practice Address - Country:US
Practice Address - Phone:610-287-7475
Practice Address - Fax:610-287-7484
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007771L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor