Individual
DR. MICHAEL A. MAZZILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3238
Mailing address
5103 TURNBERRY CT, SUFFOLK, VA 23435-3504
(757) 686-8685
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101237371
VA
Other
Enumeration date
02/02/2006
Last updated
11/22/2021
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