Most Relevant Information
Provider Data
| NPI Number: | 1003200866 |
| Provider Name: | JOSEPH THADDEUS AZZARELLO M.D., PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 171000000X |
| Specialty: | Military Health Care Provider |
| License Number: | 32678 |
Most Important Dates
| Enumeration Date: | 03/19/2015 |
| Last Updated: | 03/31/2021 |
Provider Practice Location
1180 POCAHONTAS ST STE 400
NORFOLK
VA
235112428
Practice Location Phone/Fax
| Phone: | 7579103009 |
| Fax: |
Provider Mailing Location
1180 POCAHONTAS ST STE 400
NORFOLK
VA
235112428
Provider Mailing Phone/Fax
| Phone: | 7579103009 |
| Fax: |