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JOHN SAMUEL RIZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8 MORTON AVENUE, SUITE 101, RIDLEY PARK, PA 19078
(610) 521-2111
(610) 521-3048
Mailing address
8 MORTON AVENUE, SUITE 101, RIDLEY PARK, PA 19078
(610) 521-2111
(610) 521-3048

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD021260E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008385580001
PA
01
0031054000
IBC-KEYSTONE HMO
PA
01
166019
IBC
PA
01
180010183
RAILROAD MEDICARE
01
31269A
KEYSTONE MERCY HEALTH PLA
PA
01
36784000
DAVIS VISION
01
4131201
AETNA
01
6424861B
CIGNA
01
P47921001
MULTIPLAN
01
PS44146
OXFORD
PA
Enumeration date
10/04/2006
Last updated
08/14/2014
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