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Individual

JOSEPH CREAZZO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2263 SANDSTONE DR, MORRISTOWN, TN 37814-2593
(423) 581-0444
(423) 353-1209
Mailing address
2263 SANDSTONE DR, MORRISTOWN, TN 37814-2593
(423) 581-0444
(423) 353-1209

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
000429
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
167149
BC/BS
05
3352049
TN
01
P00190667
PALMETTO GBA
Enumeration date
10/11/2005
Last updated
01/03/2018
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