Individual
MICHAEL GIZZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Mailing address
1018 AUTUMN RIVER RUN, PHILADELPHIA, PA 19128-4362
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT206731
PA
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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