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ROBERT ANTHONY PEZZULICH MD NPI 1114923422


NPI Information

NPI: 1114923422
Provider Name: ROBERT ANTHONY PEZZULICH, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
345 ELM ST
BENNINGTON, VT
ZIP 05201
Phone: (802) 447-7591
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Robert Anthony Pezzulich, MD is a surgery in Bennington, VT. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Robert Anthony Pezzulich, MD NPI is 1114923422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

345 ELM ST
BENNINGTON, VT
ZIP 05201-265
Phone: (802) 447-7591
Fax: (802) 447-3858

The enumeration date for this NPI number is 6/22/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery042-0004872VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PEVT4497MEDICARE ID-TYPE UNSPECIFIEDVERMONT
20004497MEDICAIDVERMONT
3B85459MEDICARE UPINVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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