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Individual
RICHARD S. PERGOLIZZI
Active
Individual
RICHARD S. PERGOLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0101231383
VA
2085N0700X
Neuroradiology Physician
0101231383
VA
2085N0904X
Nuclear Radiology Physician
0101231383
VA
2085P0229X
Pediatric Radiology Physician
0101231383
VA
2085R0202X
Diagnostic Radiology Physician
0101231383
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101231383
VA
2085U0001X
Diagnostic Ultrasound Physician
0101231383
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060
CAREFIRST
VA
05
—
1053345256
—
VA
01
—
2680623
AETNA
VA
Enumeration date
07/11/2006
Last updated
08/30/2019
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