Provider Demographics
NPI:1417120619
Name:PIERONI, PIER LUIGI (MD)
Entity Type:Individual
Prefix:DR
First Name:PIER LUIGI
Middle Name:
Last Name:PIERONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 RACCOON DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-2123
Mailing Address - Country:US
Mailing Address - Phone:732-341-6483
Mailing Address - Fax:732-286-4241
Practice Address - Street 1:1605 RACCOON DR
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-2123
Practice Address - Country:US
Practice Address - Phone:732-341-6483
Practice Address - Fax:732-286-4241
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA035055002086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery