Individual
ROGER T PEZZUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2571
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
007895
ME
2085R0204X
Vascular & Interventional Radiology Physician
007895
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y000185NH01
ANTHEM
NH
01
—
026375
ANTHEM
ME
01
—
1040947
AETNA USHC
ME
05
—
30007026
—
NH
05
—
305170099
—
ME
01
—
5023092
AETNA
ME
01
—
B86369
HPHC
ME
01
—
M52973
CIGNA
ME
Enumeration date
11/15/2006
Last updated
07/23/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us