Individual
ANGELO GUILLERMO PEZZAROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114
(505) 792-4465
(505) 792-8578
Mailing address
PO BOX 16068, ALBUQUERQUE, NM 87191-6068
(505) 792-4465
(505) 792-8578
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
NM7581
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13870
—
NM
Enumeration date
01/29/2007
Last updated
07/08/2007
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