Individual
JOSEPH CHARLES MARRAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301
(318) 769-3219
Mailing address
PO BOX 3780, TUPELO, MS 38803-3780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
311799
LA
390200000X
Student in an Organized Health Care Education/Training Program
11017753A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2500031
—
LA
Enumeration date
06/09/2014
Last updated
07/15/2019
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