Provider Demographics
NPI:1134177959
Name:TRIOZZI, PIERRE L (MD)
Entity type:Individual
Prefix:
First Name:PIERRE
Middle Name:L
Last Name:TRIOZZI
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:MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-716-2255
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-2255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35054320207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1134177959Medicaid
NC276989OtherMEDCOST
OH0650782Medicaid
SCQ0013GOtherSC MEDICAID
NC4308110OtherAETNA
NC869084OtherUHC
VA1134177959OtherVIRGINIA MEDICAID
NC185FPOtherBCBS
NC1134177959OtherTRICARE
NC1134177959Medicaid
OH0650782Medicaid
VA1134177959OtherVIRGINIA MEDICAID