Dr Steven Raymond Pezzullo, MD - General Practice in Coventry, RI

Dr Steven Raymond Pezzullo, MD is a General Practice physician based in Coventry, Rhode Island. Dr Steven Raymond Pezzullo is licensed to practice in Rhode Island (license number 5845) and his current practice location is 982 Tiogue Ave, Coventry, Rhode Island. He can be reached at his office (for appointments etc.) via phone at (401) 821-6800.

NPI number for Dr Steven Raymond Pezzullo is 1336385350 and his current mailing address is 982 Tiogue Ave, Coventry, Rhode Island. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336385350.

Contact Information

Dr Steven Raymond Pezzullo, MD
982 Tiogue Ave,
Coventry, RI 02816-6167
(401) 821-6800
(401) 821-8513



Physician's Profile

Full NameDr Steven Raymond Pezzullo
GenderMale
SpecialityGeneral Practice
Location982 Tiogue Ave, Coventry, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336385350
  • Provider Enumeration Date: 12/22/2008
  • Last Update Date: 10/04/2010

Medical Identifiers

Medical identifiers for Dr Steven Raymond Pezzullo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336385350NPI-NPPES
1336385350OtherBLUE CROSS
7003151MedicaidRI
1336385350OtherUNITED HEALTHCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 5845 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Steven Raymond Pezzullo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Steven Raymond Pezzullo, MD
982 Tiogue Ave,
Coventry, RI 02816-6167

Ph: (401) 821-6800
Dr Steven Raymond Pezzullo, MD
982 Tiogue Ave,
Coventry, RI 02816-6167

Ph: (401) 821-6800

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General Practice Doctors in Coventry, RI


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