MEDICARE: PHILIP IOZZI

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
1	207Q00000X	Family Medicine Physician	OS010194L	PA

General Provider Information

NPI Number	:	1215931019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP IOZZI

Provider Business Mailing Address
First Line	:	20630 ROUTE 19
Second Line	:	SUITE 101
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-6001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20630 ROUTE 19
Second Line	:	SUITE 101
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-6021
Country	:	US
Telephone Number	:	724-779-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	03/25/2021

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Directions to “ PHILIP IOZZI ” Practice Location

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