Individual
DR. JOSEPH CANNIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR # H3647, STANFORD, CA 94305-2200
(323) 409-6667
Mailing address
3421 DIRT ROAD LN, POLLOCK PINES, CA 95726-9107
(914) 364-1804
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A184607
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
07/28/2024
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