Individual
JOSEPH LUCIUS JORIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4618 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 716-2255
(336) 716-9258
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-9258
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21054
NC
207N00000X
Dermatology Physician
245561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000696000
—
WV
01
—
2714
PARTNERS
NC
01
—
4228691
AETNA
—
01
—
47508
BCBS
NC
05
—
5906661
—
VA
01
—
63999
MEDCOST
NC
05
—
8947508
—
NC
05
—
Q21054
—
SC
Enumeration date
12/21/2005
Last updated
07/02/2018
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