# DR. JEFFREY ANTHONY GAZZARA JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790135358
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 032.0133783 | VT | — |
| 208D00000X | General Practice Physician | 2020003560 | MO | — |
| 208D00000X | General Practice Physician | 302466 | NY | — |
| 208D00000X | General Practice Physician | 5101022520 | MI | — |
| 208D00000X | General Practice Physician | 847321 | GA | — |
| 208D00000X | General Practice Physician | DO2764 | ME | — |
| 208D00000X | General Practice Physician | DR.0063013 | CO | — |
| 208D00000X | General Practice Physician | ITRDO-008 | WV | — |
| 208D00000X | General Practice Physician | OS018948 | PA | Yes |
| 208D00000X | General Practice Physician | OS15642 | FL | — |
| 208D00000X | General Practice Physician | SP.243 | AL | — |

## Other

- **Enumeration date:** 06/14/2016
- **Last updated:** 04/06/2023