| Doctor Name: | DR. STEVEN RAYMOND PEZZULLO |
| NPI Number: | 1336385350 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 5845 |
| Business Practice Address: | 982 Tiogue Ave Coventry, RI - 028166167 |
| Business Phone Number: | 4018216800 |
| Business Fax Number: | 4018218513 |
| Mailing Address: | 982 Tiogue Ave, COVENTRY |
| State: | RI |
| Postal Code: | 028166167 |
| Phone Number: | 4018216800 |
| Fax Number: | 4018218513 |
| NPI Enumeration Date: | 12/22/2008 |
| NPI Last Update Date: | 10/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5845 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |