Provider Demographics
NPI:1174745657
Name:GIARRAPUTO, LEONARD JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:JOSEPH
Last Name:GIARRAPUTO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:189 LAKEVIEW DRIVE SOUTH
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GIBBSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08026-1020
Mailing Address - Country:US
Mailing Address - Phone:856-784-7744
Mailing Address - Fax:856-784-7530
Practice Address - Street 1:189 LAKEVIEW DRIVE SOUTH
Practice Address - Street 2:SUITE 102
Practice Address - City:GIBBSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08026-1020
Practice Address - Country:US
Practice Address - Phone:856-784-7744
Practice Address - Fax:856-784-7530
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA058951002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F71939Medicare UPIN