Individual
DR. PETER DARRELL PIZZUTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ST.CHRISTOPHER'S HOSPITAL FOR CHILDREN, 3601 A STREET, PHILADELPHIA, PA 19134
(215) 427-3423
(215) 427-8782
Mailing address
926 BOWMAN AVE, WYNNEWOOD, PA 19096-1658
(215) 427-3131
(215) 427-8782
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD102652E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010367410009
—
PA
Enumeration date
05/18/2006
Last updated
07/27/2007
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