Individual
MARC BUZZELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(412) 980-5495
(412) 259-8662
Mailing address
PO BOX 9235, WVU DEPARTMENT OF RADIOLOGY, MORGANTOWN, WV 26506-9235
(412) 980-5495
(412) 259-8662
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD458541
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103126152
—
PA
Enumeration date
07/21/2011
Last updated
03/06/2024
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