Pisarello, Jorge B

Pisarello, Jorge B is an individual health care provider with primary practice located at 107 Fairview Park Dr , Dublin GA 31021-2501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pisarello, Jorge B can be contacted via phone (478) 864-3448.

Contact Information

Primary practice address
107 Fairview Park Dr Dublin GA 31021-2501
Fax: (478) 864-1288
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X MD027109E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 58914 Georgia

Profile Details

NPI number 1992795876
LBN Legal business name Pisarello, Jorge B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated May 12th, 2015 - about 9 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 1992795876 NPPES
Georgia Other 58914 MEDICAL LICENSE
Georgia Other 1235131137 MEDICAL LICENSE
Georgia MEDICAID 1992795876 MEDICAL LICENSE

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