Provider Demographics
NPI:1871622787
Name:ANNUZZI, MARY -KAY (DMD)
Entity type:Individual
Prefix:DR
First Name:MARY -KAY
Middle Name:
Last Name:ANNUZZI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:533 JUDY AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLINVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08322-3912
Mailing Address - Country:US
Mailing Address - Phone:856-582-1000
Mailing Address - Fax:856-589-1093
Practice Address - Street 1:1304 LIBERTY PL
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-5710
Practice Address - Country:US
Practice Address - Phone:856-875-9550
Practice Address - Fax:856-875-0180
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJDI 022151223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry