Provider Demographics
NPI:1679596779
Name:GIOFFRE, JOSEPH (DPM)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:GIOFFRE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 GREENTREE RD
Mailing Address - Street 2:STE A115
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220
Mailing Address - Country:US
Mailing Address - Phone:412-279-1550
Mailing Address - Fax:412-279-2742
Practice Address - Street 1:2101 GREENTREE RD
Practice Address - Street 2:STE A115
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220
Practice Address - Country:US
Practice Address - Phone:412-279-1550
Practice Address - Fax:412-279-2742
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002725-L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1047983Medicaid
T29239Medicare UPIN
120311Medicare ID - Type Unspecified