Pezzullo, Christopher
Pezzullo, Christopher is an individual health care provider with primary practice located at 295 Forest Ave 2Nd Floor, Portland ME 04101-2018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pezzullo, Christopher can be contacted via phone (207) 772-5437.Contact Information
Primary practice address
295 Forest Ave 2Nd Floor
Portland ME 04101-2018
Phone: (207) 772-5437
Fax: (207) 879-1537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 1505 | Maine |
Profile Details
| NPI number | 1417933060 |
|---|---|
| LBN Legal business name | Pezzullo, Christopher |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Jun 24th, 2016 - about 8 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 | 1417933060 | NPPES |
| Maine | MEDICAID | 293660099 |
Popular Providers
-
Frehm, Eric J
22 Bramhall St Division Of Neonatology, Portland ME 04102-3134 -
Wyatt, Colby A
887 Congress St Suite 320, Portland ME 04102 -
Emery, Karen K
84 Marginal Way Ste 1000 , Portland ME 04101-2477 -
Foster, James C
84 Marginal Way Suite 1000, Portland ME 04101 -
Dedekian, Michael A
887 Congress St Suite 320, Portland ME 04102 -
Farb, Amy P
295 Forest Ave 2Nd Floor, Portland ME 04101-2018 -
Wesolowski, Emily L
84 Marginal Way Suite 1000, Portland ME 04101 -
Ritger, Paul D
84 Marginal Way Suite 1000, Portland ME 04101-2443