Organization
MIAZZO AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIETRO MIAZZO (PRESIDENT)
(215) 271-4120
Entity
Organization
Contact information
Practice address
1428 WOLF ST, PHILADELPHIA, PA 19145-4448
(215) 271-4120
Mailing address
1428 WOLF ST, PHILADELPHIA, PA 19145-4448
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1565
CBH PHILADELPHIA PARENT
PA
Enumeration date
11/21/2006
Last updated
04/04/2008
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