| Anthony L Giordano,ph.d. Llc | |
|
300 Marlton Pike W Suite 107 Cherry Hill NJ 08002-3053 | |
| (856) 429-1444 | |
| (856) 429-1440 |
| Full Name | Anthony L Giordano,ph.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 300 Marlton Pike W, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Anthony L Giordano (PRESIDENT) |
| Authorized Official Contact | 8564291444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony L Giordano,ph.d. Llc 300 Marlton Pike W Suite 107 Cherry Hill NJ 08002-3053 Ph: (856) 429-1444 | Anthony L Giordano,ph.d. Llc 300 Marlton Pike W Suite 107 Cherry Hill NJ 08002-3053 Ph: (856) 429-1444 |
| NPI Number | 1316206147 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/14/2012 |
| Medicare PECOS PAC ID | 5991960973 |
|---|---|
| Medicare Enrollment ID | O20120625000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316206147 | NPI | - | NPPES |
| 7805501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00342800 (New Jersey) | Primary |
| Provider Name | Anthony L Giordano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669543898 PECOS PAC ID: 0042207813 Enrollment ID: I20040426001391 |
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