Pezzullo, John Albert

Pezzullo, John Albert is an individual health care provider with primary practice located at 125 Metro Center Blvd Ste 2000 , Warwick RI 02886-1785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pezzullo, John Albert can be contacted via phone (401) 432-2520.

Contact Information

Primary practice address
125 Metro Center Blvd Ste 2000 Warwick RI 02886-1785
Phone: (401) 432-2520
Fax: (401) 453-8220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 212505 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 10244 Rhode Island
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD10244 Rhode Island

Profile Details

NPI number 1528056496
LBN Legal business name Pezzullo, John Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Mar 19th, 2019 - 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 1528056496 NPPES
Other 007008119 MEDICARE
Other 300108647 MEDICARE
Other 9102814 MEDICARE
Other 007008121 MEDICARE
Other 1600094 MEDICARE
Other 0000000001988 MEDICARE
Other 7008119 MEDICARE
Other 720099401 MEDICARE
Other 010244 MEDICARE
Other 003117117 MEDICARE
Other 3208486 MEDICARE
Other 010244 MEDICARE
Other 241272 MEDICARE
Other 3208486 MEDICARE
Other 407649 MEDICARE

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