Healthcare Provider Details

I. General information

NPI: 1578957700
Provider Name (Legal Business Name): JESSICA A. POZZUTO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA A. GAMBERONI

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 HUNTERS TRAIL
GETTYSBURG PA
17325-7281
US

IV. Provider business mailing address

11 HUNTERS TRAIL
GETTYSBURG PA
17325-7281
US

V. Phone/Fax

Practice location:
  • Phone: 717-334-7681
  • Fax: 717-334-0730
Mailing address:
  • Phone: 717-334-7681
  • Fax: 717-334-0730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD464106
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: