Pezzuti, Roger T

Pezzuti, Roger T is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Pezzuti, Roger T can be contacted via phone (207) 662-2571.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-2571
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 007895 Maine
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 007895 Maine

Profile Details

NPI number 1720150683
LBN Legal business name Pezzuti, Roger T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 23rd, 2009 - 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 1720150683 NPPES
New Hampshire MEDICAID 30007026
New Hampshire MEDICAID 305170099
New Hampshire Other 5023092
New Hampshire Other 1040947
New Hampshire Other M52973
New Hampshire Other B86369
New Hampshire Other 01Y000185NH01
New Hampshire Other 026375

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