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NPI Code Detail

MEDICARE: JOHN F. STRAZZULLO M.D.

MEDICARE: JOHN F. STRAZZULLO 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
1207Q00000XFamily Medicine Physician0101051366VA

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 : 1548225907
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN F. STRAZZULLO M.D.
Provider Business Mailing Address
First Line : 5000 COX RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-9263
Country : US
Telephone Number : 804-968-5700
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 : 04/19/2006
Last Update Date : 03/28/2022

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