Individual
CARMINE GIANATIEMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3322
(201) 894-0585
Mailing address
375 ENGLE ST, SECOND FLOOR, ENGLEWOOD, NJ 07631-1823
(201) 871-6073
(201) 655-6159
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
25MA05500700
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA05500700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02170794
NEW YORK STATE MEDICAID
NY
05
—
6885705
—
NJ
01
—
P00196578
RAILROAD MEDICARE
NJ
Enumeration date
05/08/2006
Last updated
08/18/2011
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