Individual
DR. JOSEPH THADDEUS AZZARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1180 POCAHONTAS ST STE 400, NORFOLK, VA 23511-2428
(757) 910-3009
Mailing address
1180 POCAHONTAS ST STE 400, NORFOLK, VA 23511-2428
(757) 910-3009
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
32678
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32678
STATE MEDICAL LICENSE
OK
Enumeration date
03/19/2015
Last updated
03/31/2021
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