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Individual

DR. JOSEPH C MARZZACCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
30 LINCOLN AVE, CARBONDALE, PA 18407-1907
(570) 282-6010
Mailing address
30 LINCOLN AVE, CARBONDALE, PA 18407-1907
(570) 282-6010

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC-001633-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0502755
PA
Enumeration date
04/10/2006
Last updated
07/06/2010
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