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PETER A PIZZARELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
868 ADMIRAL ST, PROVIDENCE, RI 02904
(401) 273-8402
Mailing address
868 ADMIRAL ST, PROVIDENCE, RI 02904
(401) 273-8402

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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