Individual
JAMES BAZZOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-8080
(740) 383-8084
Mailing address
L-3549, COLUMBUS, OH 43260-0001
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35039399B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118145
ANTHEM
OH
05
—
0308161
—
OH
01
—
0700040
UHC
—
01
—
160017770
TRAVELERS MEDICARE
—
01
—
2873884400
BWC
OH
01
—
311098079
TAXID E
—
01
—
311098079060
CIGNA
—
01
—
353077
SUBMITTER NO
—
01
—
646799
AETNA
—
Enumeration date
05/03/2006
Last updated
12/15/2021
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