Individual
JOSEPH PEZZULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
881 COMMONWEALTH AVENUE, WEST, BOSTON, MA 02215
(617) 353-3573
Mailing address
780 BOYLSTON ST, 17E, BOSTON, MA 02199-7820
(305) 801-1045
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP9220338
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2258970
MA
Other
Enumeration date
05/28/2009
Last updated
09/11/2010
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