Provider Demographics
NPI:1811175292
Name:DR CHRISTOPHER PEZZI
Entity type:Organization
Organization Name:DR CHRISTOPHER PEZZI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PEZZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-481-7410
Mailing Address - Street 1:1245 HIGHLAND AVE
Mailing Address - Street 2:SUITE 604
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3714
Mailing Address - Country:US
Mailing Address - Phone:215-481-7409
Mailing Address - Fax:215-481-2159
Practice Address - Street 1:1245 HIGHLAND AVE
Practice Address - Street 2:SUITE 604
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3714
Practice Address - Country:US
Practice Address - Phone:215-481-7409
Practice Address - Fax:215-481-2159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029403E2086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA021300Medicare PIN