Individual
DR. MICHAEL ANTHONY GIANNONE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(800) 836-7536
Mailing address
4136 MITCHELL ST APT 509, PHILADELPHIA, PA 19128-3570
(215) 882-3592
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OT023434
PA
Other
Enumeration date
09/26/2022
Last updated
06/19/2024
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