| Doctor Name: | PAUL J PETROZZO |
| NPI Number: | 1184625337 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101237174 |
| Business Practice Address: | Rr 5 Box 20 State Route 83 Grundy, VA - 246149611 |
| Business Phone Number: | 2765237938 |
| Business Fax Number: | |
| Mailing Address: | 116 Fairview St, GRUNDY |
| State: | VA |
| Postal Code: | 246149415 |
| Phone Number: | 2769358268 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 03/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 0101237174 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |