Provider Demographics
NPI:1437344132
Name:PERUZZI, PIER PAOLO (MD, PHD)
Entity Type:Individual
Prefix:
First Name:PIER PAOLO
Middle Name:
Last Name:PERUZZI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:PBB3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-525-9419
Mailing Address - Fax:617-734-8342
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:PBB3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-525-9419
Practice Address - Fax:617-734-8342
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.013060207T00000X
MA263211207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery