Migliaccio, Gianni B

Migliaccio, Gianni B is an individual health care provider with primary practice located at 800 Tydings Ln , Havre De Grace MD 21078-2102. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Migliaccio, Gianni B can be contacted via phone (410) 273-6600.

Contact Information

Primary practice address
800 Tydings Ln Havre De Grace MD 21078-2102
Phone: (410) 273-6600
Fax: (410) 734-2305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 012255 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C05654 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003850 Virginia

Profile Details

NPI number 1376737411
LBN Legal business name Migliaccio, Gianni B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Oct 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376737411 NPPES
New York MEDICAID 02951164

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