| Doctor Name: | MR. MICHAEL S PIZZA |
| NPI Number: | 1093985970 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN, BC |
| License Number: | 236572 |
| Business Practice Address: | 169 Libbey Pkwy Fl 2 Weymouth, MA - 021893101 |
| Business Phone Number: | 7816821060 |
| Business Fax Number: | |
| Mailing Address: | 159 Wood St, Apt 4 LOWELL |
| State: | MA |
| Postal Code: | 018512140 |
| Phone Number: | 9789371521 |
| Fax Number: | |
| NPI Enumeration Date: | 03/06/2008 |
| NPI Last Update Date: | 03/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 236572 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |