Provider Demographics
NPI:1982614699
Name:GIULIO I SCARZELLA MD PA
Entity Type:Organization
Organization Name:GIULIO I SCARZELLA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PRESIDENT OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:GIULIO
Authorized Official - Middle Name:I
Authorized Official - Last Name:SCARZELLA
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:301-588-5777
Mailing Address - Street 1:8630 FENTON STREET
Mailing Address - Street 2:SUITE 218
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3813
Mailing Address - Country:US
Mailing Address - Phone:301-588-5777
Mailing Address - Fax:301-588-6220
Practice Address - Street 1:8630 FENTON STREET
Practice Address - Street 2:SUITE 218
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3813
Practice Address - Country:US
Practice Address - Phone:301-588-5777
Practice Address - Fax:301-588-6220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCA00009Medicare PIN