Individual
STEVEN J GIAMPORCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2512 ATLANTIC AVE, ATLANTIC CITY, NJ 08401
(609) 347-7333
(609) 347-1632
Mailing address
2512 ATLANTIC AVE, ATLANTIC CITY, NJ 08401
(609) 347-7333
(609) 347-1632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04390000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2419505
—
NJ
01
—
5100208
MEDICAID
NJ
Enumeration date
07/13/2006
Last updated
03/02/2010
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