Individual
THOMAS RIZZO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4000
(215) 807-8235
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD011964L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015543260001
—
PA
05
—
0015543260002
—
PA
05
—
0015543260007
—
PA
01
—
0059918000
KEYSTONE IBC
PA
01
—
01554326-01
AMERICHOICE
PA
01
—
141426
PERSONAL CHOICE
PA
01
—
28898
HEALTH PARTNERS
PA
01
—
2968422
AETNA CONTRACT
PA
01
—
34008C
KEYSTONE MERCY
PA
01
—
6982997
CIGNA
PA
01
—
PA0032668
TRICARE
PA
Enumeration date
07/18/2006
Last updated
07/10/2007
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