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Individual

BRUCE J GIANTONIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 SPRUCE ST, 15 PENN TOWER, PHILADELPHIA, PA 19104-4206
(215) 662-3914
Mailing address
3624 MARKET ST, STE 560W UPHS OFFICE OF MEDICAL AFFAIRS, PHILADELPHIA, PA 19104-2614
(215) 662-2286

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD041905L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014116000005
PA
Enumeration date
06/21/2006
Last updated
07/08/2007
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