Brazzo, Gerald A
Brazzo, Gerald A is an individual health care provider with primary practice located at 255 West Diamond Ave , Hazleton PA 18201. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Brazzo, Gerald A can be contacted via phone (570) 454-0783.Contact Information
Primary practice address
255 West Diamond Ave
Hazleton PA 18201
Phone: (570) 454-0783
Fax: (570) 454-4609
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS015043L | Pennsylvania |
Profile Details
NPI number | 1215072863 |
---|---|
LBN Legal business name | Brazzo, Gerald A |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2007 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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