Individual
DR. MICHAEL JUDE MARZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2226 WORLEY DR, ALEXANDRIA, LA 71301-3600
(318) 443-9634
(318) 443-9809
Mailing address
37 CALVERT DR., ALEXANDRIA, LA 71303
(318) 443-9634
(318) 443-9809
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022304
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441236
—
LA
Enumeration date
11/04/2005
Last updated
01/20/2015
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