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NPI Code Detail

MEDICARE: JOHN A PATRIZIO M.D.

MEDICARE: JOHN A PATRIZIO 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
1207P00000XEmergency Medicine Physician0101037883VA
2207R00000XInternal Medicine Physician0101037883VA

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 : 1417957598
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN A PATRIZIO M.D.
Provider Business Mailing Address
First Line : 13520 REYNARD LN
Second Line :
City : RICHMOND
State : VA
Zip : 23233-7652
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3370 PUMP RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-1130
Country : US
Telephone Number : 804-360-8061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 03/28/2023

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