Provider Demographics
NPI:1639104714
Name:CARROZZA, JOSEPH P JR (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:CARROZZA
Suffix:JR
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:960 MASSACHUSETTS AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2690
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:736 CAMBRIDGE ST, 4TH FL CARDIOVASCULAR MEDICINE SUITE,
Practice Address - Street 2:CARDIOVASCULAR MEDICINE SUITE
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2907
Practice Address - Country:US
Practice Address - Phone:617-562-7690
Practice Address - Fax:617-562-7699
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA58769207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease