Provider Demographics
NPI:1083858609
Name:GIULIO I. SCARZELLA M.D. P.A.
Entity Type:Organization
Organization Name:GIULIO I. SCARZELLA M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D. PRESIDENT OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:GIULIO
Authorized Official - Middle Name:I
Authorized Official - Last Name:SCARZELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-588-5777
Mailing Address - Street 1:8630 FENTON STREET
Mailing Address - Street 2:SUITE 218
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-588-5777
Mailing Address - Fax:301-588-6220
Practice Address - Street 1:8630 FENTON STREET
Practice Address - Street 2:SUITE 218
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-588-5777
Practice Address - Fax:301-588-6220
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GIULIO I. SCARZELLA M.D. P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-27
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K796OtherB/C B/S (DC)
7406OtherB/C B/S (MD)
MD016491700Medicaid
K796OtherB/C B/S (DC)