Individual
PETER WILLIAM GAZZILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D., L.D.N.
Contact information
Practice address
165 TOR CT, BERKSHIRE MEDICAL CENTER HILLCREST CAMPUS, PITTSFIELD, MA 01201-3001
(413) 445-9539
(413) 445-9326
Mailing address
25 PLEASANTVIEW DR, DALTON, MA 01226-2047
(413) 822-0261
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
5
MA
133V00000X
Registered Dietitian
Primary
727180
MA
133VN1004X
Pediatric Nutrition Registered Dietitian
727180
MA
Other
Enumeration date
08/31/2006
Last updated
03/10/2015
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