Michael Giglio, MD
Individual provider Active NPI Otolaryngology Physician · Hawthorne, NJ
NPI 1891808259 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891808259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 25MA03367400 (NJ)
- Practice address
- 623 Lafayette Ave
Hawthorne, NJ 07506-2439 - Phone
- (973) 423-3833
- Fax
- (973) 423-4335
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 25MA03367400 | NJ | Yes |
Addresses
Primary practice location
623 Lafayette Ave
Hawthorne, NJ 07506-2439
Mailing address
623 Lafayette Ave
Hawthorne, NJ 07506-2439
Phone (973) 423-3833
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3042600 | Medicaid | NJ |
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- Deborah Garcia
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- Surendra P Goel
- Vijay Goel
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- Manju Gupta
All providers in Hawthorne, NJ · Otolaryngology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.