Healthcare Provider Details

I. General information

NPI: 1790734119
Provider Name (Legal Business Name): JOSEPH J RIZZO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 10/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 DELAWARE AVENUE
MARION OH
43301-1814
US

IV. Provider business mailing address

L-3549
COLUMBUS OH
43260-0001
US

V. Phone/Fax

Practice location:
  • Phone: 740-383-8080
  • Fax: 740-383-8084
Mailing address:
  • Phone: 740-383-7927
  • Fax: 740-383-7942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35050590
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35.050590
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: