Individual
DR. JOHN JERRY MARSELLA JR.
Active
Individual
DR. JOHN JERRY MARSELLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00015708
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
00015708
AL
208VP0014X
Interventional Pain Medicine Physician
Primary
00015708
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000083659
—
AL
01
—
00456277A
MEDICAID
GA
01
—
51083659
BCBS OF ALABAMA
—
Enumeration date
01/10/2006
Last updated
07/13/2023
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