Provider Demographics
NPI:1639262405
Name:PREZZIA, CHARLES P (MD, MPH, MMM)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:P
Last Name:PREZZIA
Suffix:
Gender:M
Credentials:MD, MPH, MMM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 MCKENZIE RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:PA
Mailing Address - Zip Code:15026
Mailing Address - Country:US
Mailing Address - Phone:412-433-6605
Mailing Address - Fax:412-433-6601
Practice Address - Street 1:600 GRANT ST.
Practice Address - Street 2:RM 468
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-2800
Practice Address - Country:US
Practice Address - Phone:412-433-6605
Practice Address - Fax:412-433-6601
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35. 049200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine