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General NPI Number Information
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NPI Number | 1639104714
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Entity Type | Individual
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Provider Name | JOSEPH P CARROZZA JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 736 CAMBRIDGE ST, 4TH FL CARDIOVASCULAR MEDICINE SUITE, CARDIOVASCULAR MEDICINE SUITE
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City | BRIGHTON
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State | MA
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Zip | 02135-2907
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Country | US
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Telephone | 617-562-7690
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Fax | 617-562-7699
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Provider Business Mailing Address
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Address Line | 960 MASSACHUSETTS AVE STE 2
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City | BOSTON
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State | MA
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Zip | 02118-2690
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 58769
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License Number State | MA
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