Giordano, Robert J

Giordano, Robert J is an individual health care provider with primary practice located at 100 South St Suite 205, Southbridge MA 01550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Giordano, Robert J can be contacted via phone (508) 765-0934.

Contact Information

Primary practice address
100 South St Suite 205 Southbridge MA 01550
Phone: (508) 765-0934
Fax: (508) 765-0013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 59625 Massachusetts

Profile Details

NPI number 1235193889
LBN Legal business name Giordano, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235193889 NPPES
Massachusetts MEDICAID 3033309

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