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1417585241
MICHAEL THOMAS CANNIZZARO
HAZLETON, PA
NPI
1417585241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA OS022762)
Enumeration Date
2020-03-28
Last Update Date
2023-07-17
Business Address
MICHAEL THOMAS CANNIZZARO DO
700 E BROAD ST
HAZLETON, PA 18201-6835
Phone number: 570-501-4193
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Mailing Address
MICHAEL THOMAS CANNIZZARO DO
500 UNIVERSITY DR
HERSHEY, PA 17033-2360
Phone number: 800-243-1455
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