Individual
JOSHUA GAZZETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-5942
(434) 924-3627
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0102208879
VA
208600000X
Surgery Physician
2019022428
MO
2086S0102X
Surgical Critical Care Physician
Primary
0102208879
VA
2086S0102X
Surgical Critical Care Physician
2019022428
MO
Other
Enumeration date
03/19/2013
Last updated
02/13/2025
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