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Contact Information

KENNETH L IZZO, MD
1811 BETHLEHEM PIKE
SUITE 221
FLOURTOWN, PA19031
 Phone: 215-233-1223
 Fax: 215-233-1141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KENNETH L IZZO · (Male)

NPI Number 1285725010
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD017101
  • PA Medicaid 01927385
  • Other 0060080000 BCBS KEYSTONE EAST
  • PA Other 3503051 AETNA
  • PA Other IZ112248 BCBS PERSONAL CHOICE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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