person
Dr. Steven Raymond Pezzullo, MD
General Practice Physician in Coventry, Rhode Island
NPI 1336385350

Steven Raymond Pezzullo is a General Practice Physician based in Coventry, RI. Steven Raymond Pezzullo practices in Coventry, RI and has the professional credentials of MD. The NPI Number for Steven Raymond Pezzullo is 1336385350 and holds a License No. 5845 (Rhode Island).

The current practice location address for Steven Raymond Pezzullo is 982 Tiogue Ave, Coventry, RI and can be reached out via phone at 401-821-6800 and via fax at 401-821-8513. You can also correspond with Steven Raymond Pezzullo through the mailing address at 982 TIOGUE AVE, COVENTRY, RI - 02816-6167 (mailing address contact number: 401-821-6800).

Location: 982 Tiogue Ave, Coventry, RI, 02816-6167
person
Provider Profile Details
NPI Number
1336385350
Provider Name
Steven Raymond Pezzullo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
982 Tiogue Ave, Coventry, RI, 02816-6167
Phone Number
401-821-6800
Fax Number
401-821-8513
Provider Enumeration Date
12/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336385350 01 BLUE CROSS
7003151 05 RI
1336385350 01 UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
982 Tiogue Ave
City
State
Zip
02816-6167
Phone Number
401-821-6800
Fax Number
401-821-8513
person
Provider Business Mailing Address Details
Address
982 Tiogue Ave
City
State
Zip
02816-6167
Phone Number
401-821-6800
Fax Number
401-821-8513
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
5845 (Rhode Island)
Definition
Definition to come...
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