DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHRISTOPHER PEZZULLO D.O.

MEDICARE: CHRISTOPHER PEZZULLO D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician1505ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417933060
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER PEZZULLO D.O.
Provider Business Mailing Address
First Line : 295 FOREST AVE
Second Line : 2ND FLOOR
City : PORTLAND
State : ME
Zip : 04101-2018
Country : US
Telephone Number : 207-772-5437
Fax Number : 207-879-1537
Provider Business Practice Location Address
First Line : 295 FOREST AVE
Second Line : 2ND FLOOR
City : PORTLAND
State : ME
Zip : 04101-2018
Country : US
Telephone Number : 207-772-5437
Fax Number : 207-879-1537
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 06/24/2016

Similar Medicare Providers

1659357275 — AMY P FARB M.D.
Practice Location Address:
295 FOREST AVE , 2ND FLOOR
PORTLAND, ME
04101-2018
Practice Phone: 207-772-5437
Practice Fax: 207-879-1537
1396721924 — KIMBERLY A FOSTER N.P.
Practice Location Address:
295 FOREST AVE , 2ND FLOOR
PORTLAND, ME
04101-2018
Practice Phone: 207-772-5437
Practice Fax: 207-879-1537
1558348763 — LAURA KELLEY D.O.
Practice Location Address:
295 FOREST AVE , 2ND FLOOR
PORTLAND, ME
04101-2018
Practice Phone: 207-772-5437
Practice Fax: 207-879-1537
1033174693 — PAULA VOKEY LCSW
Practice Location Address:
295 FOREST AVE , 2ND FLOOR
PORTLAND, ME
04101-2018
Practice Phone: 207-772-5437
Practice Fax: 207-879-1537
1013025402 — HANNAFORD BROS CO LLC
Practice Location Address:
295 FOREST AVE
PORTLAND, ME
04101-2018
Practice Phone: 207-761-5967
Practice Fax: 207-879-4010
1710173133 — DR. ANGELA L BRANDA D.O.
Practice Location Address:
295 FOREST AVE , 2R
PORTLAND, ME
04101-2018
Practice Phone: 207-772-5437
Practice Fax: 207-879-1537

Directions to “ CHRISTOPHER PEZZULLO D.O.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.