Provider Demographics
NPI:1831285097
Name:PIROZZI, PATRICK J (DMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:J
Last Name:PIROZZI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 RIVER RD
Mailing Address - Street 2:SUITE H-2
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9441
Mailing Address - Country:US
Mailing Address - Phone:973-316-5757
Mailing Address - Fax:973-331-1443
Practice Address - Street 1:150 RIVER RD
Practice Address - Street 2:SUITE H-2
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9441
Practice Address - Country:US
Practice Address - Phone:973-316-5757
Practice Address - Fax:973-331-1443
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI014550001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ120078AUQMedicare PIN
NJ120078Medicare PIN