Provider Demographics
NPI:1508957879
Name:MARAZZO, DONALD PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:PETER
Last Name:MARAZZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:GIVF PAYMENT AND CORRESPONDENCE ADDRESS
Mailing Address - Street 2:PO BOX 75499
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21275-5499
Mailing Address - Country:US
Mailing Address - Phone:703-289-1977
Mailing Address - Fax:703-698-3977
Practice Address - Street 1:GIVF
Practice Address - Street 2:3015 WILLIAMS DR. #300
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22301
Practice Address - Country:US
Practice Address - Phone:703-289-1977
Practice Address - Fax:703-698-3977
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237288207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB62093Medicare UPIN