Individual
KENNETH L IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1811 BETHLEHEM PIKE, SUITE 221, FLOURTOWN, PA 19031
(215) 233-1223
(215) 233-1141
Mailing address
1811 BETHLEHEM PIKE, SUITE 221, FLOURTOWN, PA 19031
(215) 233-1223
(215) 233-1141
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD017101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060080000
BCBS KEYSTONE EAST
—
05
—
01927385
—
PA
01
—
3503051
AETNA
PA
01
—
IZ112248
BCBS PERSONAL CHOICE
PA
Enumeration date
09/27/2006
Last updated
07/08/2007
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