Individual
PETER A PIZZARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD12056
RI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD12056
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9004975
—
RI
Enumeration date
05/03/2006
Last updated
08/28/2009
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