Individual
GUILHERME DA SILVA MAZZINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VCU DEPT OF SURGERY, 1250 E. MARSHALL STREET, RICHMOND, VA 23298
(804) 628-3626
Mailing address
PO BOX 980519, RICHMOND, VA 23298-0519
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101279447
VA
Other
Enumeration date
08/15/2022
Last updated
09/08/2023
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