Petruzzelli, Guy J.

Petruzzelli, Guy J. is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Petruzzelli, Guy J. can be contacted via phone (912) 350-2299.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31404
Phone: (912) 350-2299
Fax: (912) 350-2298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 067957 Georgia

Profile Details

NPI number 1528045481
LBN Legal business name Petruzzelli, Guy J.
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Aug 7th, 2018 - about 6 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 1528045481 NPPES
Georgia MEDICAID 003124903A
Georgia MEDICAID 003124903B
Georgia Other 691344
Georgia Other P01069298
Georgia Other P01109154
Georgia MEDICAID GA1328

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