Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 245455 | MA |
N | 111NI0900X | Internist | 245455 | MA |
Y | 207RG0300X | Geriatric Medicine | 257465 | MA |
NPI | 1134430747 |
---|---|
Provider Name | Dr. Anthony Martin Zizza III |
First Address | Saugus, MA 01906-1957 |
Second Address | Westborough, MA 01581-1790 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2010 |
Last Update Date | 03/01/2020 |