Individual
ROBERT ANTHONY PEZZULICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
345 ELM ST, BENNINGTON, VT 05201-2265
(802) 447-7591
(802) 447-3858
Mailing address
88 MEADOW BROOK DR, BENNINGTON, VT 05201-9263
(802) 447-7203
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042-0004872
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004497
—
VT
Enumeration date
06/22/2005
Last updated
07/08/2007
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