Individual
DR. SAMANTHA JOY VIZZINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 982-6100
(434) 982-0747
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-123670
OH
207L00000X
Anesthesiology Physician
Primary
39295
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
35-123670
OH
207LP3000X
Pediatric Anesthesiology Physician
35-123670
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125332
—
OH
Enumeration date
05/07/2010
Last updated
08/10/2023
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