Individual
DR. MICHAEL ANTHONY PEZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1 HARDING AVE, JOHNSTON, RI 02919-5010
(401) 330-9037
Mailing address
1 HARDING AVE, JOHNSTON, RI 02919-5010
(401) 330-9037
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00593
RI
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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