Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 33853 | AZ |
NPI | 1073565396 |
---|---|
Provider Name | Joseph Graziano |
First Address | Sunrise, FL 33323-2843 |
Second Address | Phoenix, AZ 85006-1459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 04/02/2010 |