Individual
DR. MARC STEVEN MICOZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
4605 CHASE AVE, BETHESDA, MD 20814-3525
(301) 654-4706
Mailing address
4605 CHASE AVE, BETHESDA, MD 20814-3525
(301) 654-4706
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
D0033526
MD
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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