NPI 1073627618

Michael F Giordano, PAC

Practitioner Physician Assistant Lakewood, NJ

Practice location

Address: 150 E Kennedy Blvd, Lakewood, NJ 08701-1345
Phone: (732) 364-0515
Fax: (732) 364-6006

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00104000 (NJ)

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Registry record

NPI: 1073627618
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.