Provider Demographics
NPI:1205945334
Name:JOSEPH P GUAGLIARDO DO PC
Entity type:Organization
Organization Name:JOSEPH P GUAGLIARDO DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUAGLIARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-348-0252
Mailing Address - Street 1:204 N WEST ST STE 102
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-3507
Mailing Address - Country:US
Mailing Address - Phone:215-348-0252
Mailing Address - Fax:
Practice Address - Street 1:204 N WEST ST STE 102
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3507
Practice Address - Country:US
Practice Address - Phone:215-348-0252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003845L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB18094Medicare UPIN
PA059473Medicare ID - Type Unspecified