Organization
RICHARD D. MAFFEZZOLI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D MAFFEZZOLI M.D. (SOLE PRIOPRITOR)
(410) 494-1213
Entity
Organization
Contact information
Practice address
515 FAIRMOUNT AVE, SUITE 330, TOWSON, MD 21286-5466
(410) 494-1213
(410) 494-1233
Mailing address
19 SEMINARY DR, LUTHERVILLE, MD 21093-4757
(410) 494-1213
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
DO7132
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025571800
—
MD
Enumeration date
11/30/2007
Last updated
04/19/2011
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