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NPI Code Detail

MEDICARE: JAMES LEO BULIZZI JR.

MEDICARE:   JAMES LEO BULIZZI JR.
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
1183500000XPharmacistRP044551LPA

General Provider Information

NPI Number : 1457629677
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES LEO BULIZZI JR.
Provider Business Mailing Address
First Line : 2405 LOMBARD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-1022
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2310 W OREGON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-4122
Country : US
Telephone Number : 215-468-2481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2011
Last Update Date : 12/02/2011

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Directions to “ JAMES LEO BULIZZI JR. ” Practice Location

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