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NPI Code Detail

MEDICARE: DR. JOHN J. INZERILLO M.D.

MEDICARE:  DR. JOHN J. INZERILLO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician9300159NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164404422
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN J. INZERILLO M.D.
Provider Business Mailing Address
First Line : 1209 BROWN ST
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-4671
Country : US
Telephone Number : 252-975-4308
Fax Number : 252-946-1540
Provider Business Practice Location Address
First Line : 1209 BROWN ST
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-4671
Country : US
Telephone Number : 252-975-4308
Fax Number : 252-946-1540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 08/09/2010

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Directions to “ DR. JOHN J. INZERILLO M.D.” Practice Location

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