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NPI Code Detail

MEDICARE: HAVEN MARZULLO

MEDICARE: HAVEN MARZULLO
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
1374J00000XDoulaDOU000248OH

General Provider Information

NPI Number : 1619824851
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAVEN MARZULLO
Provider Business Mailing Address
First Line : 1220 BRYSON RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-2008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1220 BRYSON RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-2008
Country : US
Telephone Number : 614-832-7228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ HAVEN MARZULLO ” Practice Location

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