Healthcare Provider Details

I. General information

NPI: 1588725071
Provider Name (Legal Business Name): PETER ANTHONY PINTO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 08/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR MSC 1210 BUILDING 10, CRC, ROOM 1W-5940, UOB,NCI, NIH
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

10 CENTER DR MSC 1210 BUILDING 10, CRC, ROOM 1W-5940, UOB,NCI, NIH
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-6353
  • Fax: 301-402-0922
Mailing address:
  • Phone: 301-496-6353
  • Fax: 301-402-0922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number205866
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: