Robert Anthony Pezzulich in Bennington - Surgery
Robert Anthony Pezzulich - NPI 1114923422
Robert Anthony Pezzulich is a Surgery in Bennington, Vermont. Robert Anthony Pezzulich practices all healthcare services and medical treatments related to Surgery. The NPI Number for Robert Anthony Pezzulich is 1114923422. The last update date is 2007-07-08.
Robert Anthony Pezzulich's current location address is 345 Elm St, Bennington, Vermont. You can contact this provider via phone number 8024477591 and fax number 8024473858. The mailing address for Robert Anthony Pezzulich is 345 Elm St, Bennington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Anthony Pezzulich |
|---|---|
| Address | 345 Elm St, Bennington, Vermont |
| Phone Number | 8024477591 |
| Fax Number | 8024473858 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114923422 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 345 Elm St |
|---|---|
| City | Bennington |
| State | Vermont (VT) |
| Post Code | 520122650 |
| Phone Number | 8024477591 |
| Fax Number | 8024473858 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 042-0004872 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4497 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Anthony Pezzulich by the Centers for Medicare & Medicaid Services?
The Robert Anthony Pezzulich has been assigned the NPI (National Provider Identifier) 1114923422. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Robert Anthony Pezzulich is physically located?
The Robert Anthony Pezzulich is situated at the following address: 345 Elm St, Bennington, VT 520122650.
What is Robert Anthony Pezzulich's area of expertise and its corresponding taxonomy classification?
The Robert Anthony Pezzulich's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Robert Anthony Pezzulich receive its 1114923422 assignment from the Centers for Medicare & Medicaid Services?
The Robert Anthony Pezzulich was assigned its 1114923422 by the Centers for Medicare & Medicaid Services on 2005-06-22.
As of what date was the information pertaining to Robert Anthony Pezzulich, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert Anthony Pezzulich, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.