Giangeruso, Enrico A
Giangeruso, Enrico A is an individual health care provider with primary practice located at 4660 Kenmore Avenue, Suite 305 , Alexandria VA 22304-1306. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Giangeruso, Enrico A can be contacted via phone (703) 751-5763.Contact Information
Primary practice address
4660 Kenmore Avenue, Suite 305
Alexandria VA 22304-1306
Phone: (703) 751-5763
Fax: (703) 370-8704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | 0101258831 | Virginia |
| Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | 0101258831 | Virginia |
| Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | D0044362 | Maryland |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | D0044362 | Maryland |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 0101258831 | Virginia |
Profile Details
| NPI number | 1568560134 |
|---|---|
| LBN Legal business name | Giangeruso, Enrico A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Dec 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568560134 | NPPES |
| Virginia | MEDICAID | 1568560134 | |
| Virginia | MEDICAID | 30016323590001 | |
| Virginia | Other | 61489901 | |
| Virginia | Other | W2270004 | |
| Virginia | MEDICAID | 135291100 |
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