Individual
MICHAEL GIANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
200 CENTENNIAL AVE STE 200, PISCATAWAY, NJ 08854-3950
(732) 595-2444
Mailing address
200 CENTENNIAL AVE STE 200, PISCATAWAY, NJ 08854-3950
(732) 595-2444
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
3889
NJ
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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