Provider Demographics
NPI:1588759583
Name:CANNIZZO, FRANCIS (MBA, MD, PHD, FACS)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:
Last Name:CANNIZZO
Suffix:
Gender:M
Credentials:MBA, MD, PHD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:OFFICE OF THE CHIEF OF STAFF (11)
Mailing Address - Street 2:1970 ROANOKE BLVD.
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24018
Mailing Address - Country:US
Mailing Address - Phone:540-982-2463
Mailing Address - Fax:540-983-1096
Practice Address - Street 1:OFFICE OF THE CHIEF OF STAFF (11)
Practice Address - Street 2:1970 ROANOKE BLVD.
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24018
Practice Address - Country:US
Practice Address - Phone:540-982-2463
Practice Address - Fax:540-983-1096
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2266252086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology