Individual
JAMES LEO BULIZZI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2310 W OREGON AVE, PHILADELPHIA, PA 19145-4122
(215) 468-2481
Mailing address
2405 LOMBARD ST, PHILADELPHIA, PA 19146-1022
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP044551L
PA
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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