Provider Demographics
NPI:1730406067
Name:GIUSEPPUCCI, PABLO GABRIEL (MD)
Entity type:Individual
Prefix:
First Name:PABLO
Middle Name:GABRIEL
Last Name:GIUSEPPUCCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1353 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-6637
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1353 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-6637
Practice Address - Country:US
Practice Address - Phone:330-841-2012
Practice Address - Fax:330-841-2016
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.142688208600000X
PA188313 MT208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery