Provider Demographics
NPI:1962614545
Name:PIZZICA PEDIATRICS
Entity type:Organization
Organization Name:PIZZICA PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:PIZZICA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-707-1059
Mailing Address - Street 1:100 E LEHIGH AVE
Mailing Address - Street 2:SCHOOL OF NURSING BLDG. BASEMENT
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-1012
Mailing Address - Country:US
Mailing Address - Phone:215-707-1059
Mailing Address - Fax:215-707-1049
Practice Address - Street 1:290 KING OF PRUSSIA RD
Practice Address - Street 2:RADNOR STATION BLDG #2-208
Practice Address - City:RADNOR
Practice Address - State:PA
Practice Address - Zip Code:19087-5107
Practice Address - Country:US
Practice Address - Phone:215-401-3941
Practice Address - Fax:215-401-3941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty