Individual
JULIANN MARIE GIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
270518
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2012
Last updated
07/21/2022
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