Provider Demographics
NPI:1831190826
Name:GIANCOLA, FRANK JAMES (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:JAMES
Last Name:GIANCOLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8640 SUDLEY RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4420
Mailing Address - Country:US
Mailing Address - Phone:703-330-3939
Mailing Address - Fax:703-331-0959
Practice Address - Street 1:8640 SUDLEY RD
Practice Address - Street 2:SUITE 306
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4420
Practice Address - Country:US
Practice Address - Phone:703-330-3939
Practice Address - Fax:703-331-0959
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101042910208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6713564Medicaid
VAF69546Medicare UPIN