Petruzzo, Robert T.
Petruzzo, Robert T. is an sole proprietor health care provider with primary practice located at 4405 Vandever Ave , San Diego CA 92120-3315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Petruzzo, Robert T. can be contacted via phone (619) 528-5000.Contact Information
Primary practice address
4405 Vandever Ave
San Diego CA 92120-3315
Phone: (619) 528-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 20A4255 | California |
Profile Details
| NPI number | 1578615936 |
|---|---|
| LBN Legal business name | Petruzzo, Robert T. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Apr 28th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578615936 | NPPES |
| California | MEDICAID | 00AX42550 |
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