Provider Demographics
NPI:1417534397
Name:POLIZZI, MITCHELL (MS)
Entity Type:Individual
Prefix:
First Name:MITCHELL
Middle Name:
Last Name:POLIZZI
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 N 27TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-5303
Mailing Address - Country:US
Mailing Address - Phone:703-967-6132
Mailing Address - Fax:
Practice Address - Street 1:401 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5017
Practice Address - Country:US
Practice Address - Phone:703-967-6132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZB0301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherBiomedical Engineering