Doctor Name: | DR. JAMES GIANNAKAROS |
NPI Number: | 1750325684 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | MD 002520 |
Business Practice Address: | 1 Leifried Ln Suite B Little Egg Harbor Twp, NJ - 080872000 |
Business Phone Number: | 6092942666 |
Business Fax Number: | 6092940606 |
Mailing Address: | 1 Leifried Ln, Suite B LITTLE EGG HARBOR TWP |
State: | NJ |
Postal Code: | 080872000 |
Phone Number: | 6092942666 |
Fax Number: | 6092940606 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 11/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | MD 002520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |