Provider Demographics
NPI:1811005895
Name:GIANFORTONI, JOSEPH GENE (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GENE
Last Name:GIANFORTONI
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 1:7603 FOREST AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4942
Mailing Address - Country:US
Mailing Address - Phone:804-673-2273
Mailing Address - Fax:804-285-3109
Practice Address - Street 1:7603 FOREST AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4942
Practice Address - Country:US
Practice Address - Phone:804-673-2273
Practice Address - Fax:804-285-3109
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042743207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA278695OtherSOUTHERN HEALTH
VA7400002OtherUNITED HEALTHCARE
VA578779OtherAETNA
VA057863OtherANTHEM
VA245206OtherMAMSI
VA212171OtherCIGNA
VAC48685Medicare UPIN