Provider Demographics
NPI:1750336541
Name:PULMONARY ASSOCIATES P.A.
Entity type:Organization
Organization Name:PULMONARY ASSOCIATES P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-368-5515
Mailing Address - Street 1:4745 OGLETOWN STANTON RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2067
Mailing Address - Country:US
Mailing Address - Phone:302-368-5515
Mailing Address - Fax:302-366-1240
Practice Address - Street 1:7TH & CLAYTON STS
Practice Address - Street 2:MED OFC BLDG SUITE 500
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-4418
Practice Address - Country:US
Practice Address - Phone:302-613-5080
Practice Address - Fax:302-327-7313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1989017157207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEK907OtherBCBS MARYLAND
CB9776OtherRR MEDICARE
DE0085017000OtherAMERIHEALTH/KEYSTONE
CB9776OtherRR MEDICARE