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Individual

PETERSON FORTUNATO GIALLANZA

Active
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Individual

PETERSON FORTUNATO GIALLANZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
200701902
NC
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
200701902
NC
2084N0400X
Neurology Physician
2007-01902
NC
2084N0400X
Neurology Physician
Primary
200701902
NC
2084N0600X
Clinical Neurophysiology Physician
200701902
NC
2084P0005X
Neurodevelopmental Disabilities Physician
200701902
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
200701902
NC
2084V0102X
Vascular Neurology Physician
200701902
NC

Other

Enumeration date
05/07/2007
Last updated
03/10/2025
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