Individual
PHILIP MICHAEL IZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, PHILADELPHIA, PA 19107-4414
(917) 842-2061
Mailing address
156 83RD ST, BROOKLYN, NY 11209-4310
(917) 842-2061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT198162
PA
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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