Dr. Jonathan Shea Diruzzo, MD
Anesthesiology in Stockbridge, GA. Individual provider (NPI-1).
NPI number1720269699
StatusActive
Last updated in NPPESMar 29, 2023
Details
- NPI
- 1720269699
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan Shea Diruzzo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2007
- Certification date
- Mar 29, 2023
- Last updated
- Mar 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 66280 | GA | Yes |
| 207L00000X | Anesthesiology | 0000046012 | TN | |
| 207L00000X | Anesthesiology | 296382 | NY |
Practice location
1133 Eagles Landing PkwyStockbridge, GA 30281-5085
Phone 678-604-1053
Mailing address
860 Peachtree St Ne Unit 2009Atlanta, GA 30308-1278
Phone 404-354-8148
Other practice locations
2215 Burdett Ave
Troy, NY 12180-2475
Troy, NY 12180-2475
Phone 518-525-8600
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