Provider Demographics
NPI:1750386371
Name:GIANGIULIO, LOUIS MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:MICHAEL
Last Name:GIANGIULIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1242 HIGHGATE RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5846
Mailing Address - Country:US
Mailing Address - Phone:484-266-9103
Mailing Address - Fax:610-540-0156
Practice Address - Street 1:583 SUGARTOWN RD
Practice Address - Street 2:HEALTH CENTER
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-2800
Practice Address - Country:US
Practice Address - Phone:610-644-1754
Practice Address - Fax:610-540-0156
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD425790208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics