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NPI Code Detail

MEDICARE: ERIC A PIZZA MD

MEDICARE: ERIC A PIZZA MD
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
1208800000XUrology Physician01092429AIN
2208800000XUrology Physician3556689OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3340011839OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013912096
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC A PIZZA MD
Provider Business Mailing Address
First Line : 3500 EXECUTIVE PKWY
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1319
Country : US
Telephone Number : 419-531-8558
Fax Number : 419-578-5939
Provider Business Practice Location Address
First Line : 3500 EXECUTIVE PKWY
Second Line :
City : TOLEDO
State : OH
Zip : 43606-1319
Country : US
Telephone Number : 419-531-8558
Fax Number : 419-578-5939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 01/31/2024

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Directions to “ ERIC A PIZZA MD” Practice Location

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