Organization
PISANELLI SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR J. PISANELLI JR. MD (OWNER)
(802) 773-2900
Entity
Organization
Contact information
Practice address
69 ALLEN ST, SUITE 6, RUTLAND, VT 05701-4564
(802) 773-2900
(802) 775-3377
Mailing address
69 ALLEN ST, SUITE 6, RUTLAND, VT 05701-4564
(802) 773-2900
(802) 775-3377
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002375
—
VT
Enumeration date
01/29/2007
Last updated
08/22/2020
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