Doctor Name: | DR. STEPHEN MICHAEL GUILIANA |
NPI Number: | 1386061372 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 25MD00328000 |
Business Practice Address: | 4 Greenwich St Belvidere, NJ - 078231421 |
Business Phone Number: | 9084758750 |
Business Fax Number: | |
Mailing Address: | 4 Greenwich St, BELVIDERE |
State: | NJ |
Postal Code: | 078231421 |
Phone Number: | 9084758750 |
Fax Number: | 9084758755 |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00328000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |