Provider Demographics
NPI:1538214028
Name:GARIBALDI, PIA MARIA
Entity type:Individual
Prefix:
First Name:PIA
Middle Name:MARIA
Last Name:GARIBALDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PIA
Other - Middle Name:MARIA
Other - Last Name:KREPFL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:102 W FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6630
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:253 WITHERSPOON ST
Practice Address - Street 2:UNIVERSITY MEDICAL CENTER AT PRINCETON
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3211
Practice Address - Country:US
Practice Address - Phone:609-497-4431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA062778207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine