Pellizzon, Gregory Gerhard

Pellizzon, Gregory Gerhard is an individual health care provider with primary practice located at 4604 Spotsylvania Pkwy Ste 310 , Fredericksburg VA 22408-7766. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Pellizzon, Gregory Gerhard can be contacted via phone (540) 361-2922.

Contact Information

Primary practice address
4604 Spotsylvania Pkwy Ste 310 Fredericksburg VA 22408-7766
Phone: (540) 361-2922
Fax: (540) 361-2927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 4301070190 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301070190 Michigan

Profile Details

NPI number 1932190345
LBN Legal business name Pellizzon, Gregory Gerhard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Nov 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932190345 NPPES
Michigan MEDICAID 4839310

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