Provider Demographics
NPI:1467723163
Name:RIZZO, MARCO ALESSANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCO
Middle Name:ALESSANDRO
Last Name:RIZZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 S FAIR ST
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-3436
Mailing Address - Country:US
Mailing Address - Phone:203-458-1013
Mailing Address - Fax:
Practice Address - Street 1:43 S FAIR ST
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-3436
Practice Address - Country:US
Practice Address - Phone:203-458-1013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0322952084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology