Provider Demographics
NPI:1952374266
Name:GIGLIUTO, CHRISTINE M (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:M
Last Name:GIGLIUTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 HOOPER AVE
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2975
Mailing Address - Country:US
Mailing Address - Phone:732-349-4994
Mailing Address - Fax:
Practice Address - Street 1:1314 HOOPER AVE
Practice Address - Street 2:2ND FLOOR, BLDG 2
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2975
Practice Address - Country:US
Practice Address - Phone:732-349-4994
Practice Address - Fax:732-341-1717
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA05500800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1K8021OtherHEALTHNET
NJ4563000Medicaid
NJP406718OtherOXFORD
NJ110225619OtherRAILROAD MEDICARE
NJ223360408-008OtherQUALCARE
NJ644548Medicare ID - Type Unspecified
NJ4563000Medicaid