Individual
DR. PAUL IMPELLIZZERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 S 4TH ST FL 2, LEBANON, PA 17042-6111
(717) 270-3751
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
FI2065058
PA
2086S0129X
Vascular Surgery Physician
Primary
MD440394
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102496650
—
PA
Enumeration date
03/04/2008
Last updated
07/10/2024
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