Active NPIIndividual provider

Peter W Gazzillo, RD, LDN

Dietitian, Registered in Pittsfield, Massachusetts

NPI Number1578674172
Practice location
165 Tor CT, Berkshire Medical Center Hillcrest Campus, Pittsfield, MA 01201-3001
Fax
413-445-9326
Last updated
March 10, 2015

Peter William Gazzillo is a Dietitian, Registered based in Pittsfield, MA. Peter William Gazzillo practices in Pittsfield, MA and has the professional credentials of RD, LDN. The NPI Number for Peter William Gazzillo is 1578674172 and holds a License No. 5 (MA). The current practice location address for Peter William Gazzillo is 165 Tor CT, Berkshire Medical Center Hillcrest Campus, Pittsfield, MA 01201-3001 and can be reached out via phone at 413-445-9539 and via fax at 413-445-9326.

Provider Profile Details

NPI Number
1578674172
Provider Name
Peter William Gazzillo
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Male
Address
165 Tor CT, Berkshire Medical Center Hillcrest Campus, Pittsfield, MA 01201-3001
Phone Number
413-445-9539
Fax Number
413-445-9326
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2006
Last Update Date
March 10, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
165 Tor CT
Berkshire Medical Center Hillcrest Campus
Pittsfield, MA 01201-3001
Zip
01201-3001
Phone Number
413-445-9539
Fax Number
413-445-9326
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
25 Pleasantview Dr
Dalton, MA 01226-2047
City
Dalton
State
MA
Zip
01226-2047
Phone Number
413-822-0261

License Information

License Number (1)
5
License State (1)
MA
Taxonomy (1)
Nutritionist · 133N00000X
License Number (2)
727180
License State (2)
MA
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary
License Number (3)
727180
License State (3)
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Peter W Gazzillo, RD, LDN?

The NPI number of Peter W Gazzillo, RD, LDN is 1578674172. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Peter W Gazzillo, RD, LDN?

Peter W Gazzillo, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 5.

Where does Peter W Gazzillo, RD, LDN practice?

The practice location is 165 Tor CT, Berkshire Medical Center Hillcrest Campus, Pittsfield, MA 01201-3001. The office can be reached at 413-445-9539 (phone) or 413-445-9326 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578674172 directly on the NPPES registry website.

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