Provider Demographics
NPI:1205056645
Name:PREZZATO, JOSEPH JAMES (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JAMES
Last Name:PREZZATO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:30445 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3158
Mailing Address - Country:US
Mailing Address - Phone:248-855-2229
Mailing Address - Fax:248-702-6374
Practice Address - Street 1:30445 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 140
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3158
Practice Address - Country:US
Practice Address - Phone:248-855-2229
Practice Address - Fax:248-702-6374
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2014-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301088750207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics