person
John Albert Pezzullo III, MD
Diagnostic Radiology Physician in Warwick, Rhode Island
NPI 1528056496

John Albert Pezzullo III is a Diagnostic Radiology Physician based in Warwick, RI and is specialized in Diagnostic Radiology. John Albert Pezzullo III practices in Warwick, RI and has the professional credentials of MD. The NPI Number for John Albert Pezzullo III is 1528056496 and holds a License No. 212505 (Rhode Island).

The current practice location address for John Albert Pezzullo III is 125 Metro Center Blvd Ste 2000, Warwick, RI and can be reached out via phone at 401-432-2520 and via fax at 401-453-8220.

Location: 125 Metro Center Blvd Ste 2000, Warwick, RI, 02886-1785
person
Provider Profile Details
NPI Number
1528056496
Provider Name
John Albert Pezzullo III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
125 Metro Center Blvd Ste 2000, Warwick, RI, 02886-1785
Phone Number
401-432-2520
Fax Number
401-453-8220
Provider Enumeration Date
10/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007008119 01 MEDICARE
300108647 01 RAILROADMEDICARE
9102814 01 PHHCS
007008121 01 HOSPITAL PIN
1600094 01 UNITEDHEALTHPLANS
0000000001988 01 NHPRI
7008119 01 RIMEDICALASSISTANCE
720099401 01 CIGNA
010244 01 TUFTS
003117117 01 CT MED ASSISTANCE
3208486 01 MASSMEDICAID
010244 01 BLUESHIELD
241272 01 RIHPILGRIM
3208486 01 HEALTHYSTART
407649 01 BLUECHIP
institution
Provider Business Practice Location Address Details
Address
125 Metro Center Blvd Ste 2000
City
State
Zip
02886-1785
Phone Number
401-432-2520
Fax Number
401-453-8220
person
Provider Business Mailing Address Details
Address
125 Metro Center Blvd Ste 2000
City
State
Zip
02886-1785
Phone Number
401-432-2520
Fax Number
401-453-8220
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
212505 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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