Individual
VITO NICHOLAS GIARDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4660 WILKENS AVE, SUITE 202, BALTIMORE, MD 21229-4848
(410) 242-7066
(410) 242-4126
Mailing address
4660 WILKENS AVE, SUITE 202, BALTIMORE, MD 21229-4848
(410) 242-7066
(410) 242-4126
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00440
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30650001
BLUE SHIELD DC
DC
05
—
602448300
—
MD
01
—
K925GI32082007
BLUE SHIELD
MD
01
—
S12832082006
BLUE SHIELD
MD
Enumeration date
08/14/2006
Last updated
02/03/2009
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