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Individual

MICHAEL F MALIZZO

Active
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Individual

MICHAEL F MALIZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
20040156
NM
207LP2900X
Pain Medicine (Anesthesiology) Physician
K8318
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
20040156
NM
208VP0014X
Interventional Pain Medicine Physician
R8318
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85338257
NM
Enumeration date
07/26/2006
Last updated
07/21/2020
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