Pezzullo, Steven Raymond

Pezzullo, Steven Raymond is an individual health care provider with primary practice located at 982 Tiogue Ave , Coventry RI 02816-6167. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Pezzullo, Steven Raymond can be contacted via phone (401) 821-6800.

Contact Information

Primary practice address
982 Tiogue Ave Coventry RI 02816-6167
Phone: (401) 821-6800
Fax: (401) 821-8513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5845 Rhode Island

Profile Details

NPI number 1336385350
LBN Legal business name Pezzullo, Steven Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2008
Last updated Oct 4th, 2010 - about 15 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 1336385350 NPPES
Other 1336385350 BLUE CROSS
MEDICAID 7003151 BLUE CROSS
Other 1336385350 BLUE CROSS

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