Individual
DR. GIORGIO M ARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, R00M L210, JACKSON, MS 39216-4500
(601) 984-5170
(601) 984-5198
Mailing address
PO BOX 24146, JACKSON, MS 39225-4146
(601) 925-6805
(601) 926-4978
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
6210
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119452
—
MS
01
—
14835
MED LICENSE
MS
01
—
64-0914115
TAX ID#UNIV SURG ASSOC
MS
01
—
P00634048
RR MEDICARE
MS
Enumeration date
10/05/2006
Last updated
06/27/2012
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