Pezzarossi, Angelo Guillermo
Pezzarossi, Angelo Guillermo is an individual health care provider with primary practice located at 1100 Alameda Blvd Nw , Albuquerque NM 87114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Pezzarossi, Angelo Guillermo can be contacted via phone (505) 792-4465.Contact Information
Primary practice address
1100 Alameda Blvd Nw
Albuquerque NM 87114
Phone: (505) 792-4465
Fax: (505) 792-8578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | NM7581 | New Mexico |
Profile Details
| NPI number | 1710023767 |
|---|---|
| LBN Legal business name | Pezzarossi, Angelo Guillermo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1710023767 | NPPES |
| New Mexico | MEDICAID | 13870 |
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