Impellizzeri, Paul

Impellizzeri, Paul is an individual health care provider with primary practice located at 252 S 4Th St Fl 2 , Lebanon PA 17042-6111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Impellizzeri, Paul can be contacted via phone (717) 270-3751.

Contact Information

Primary practice address
252 S 4Th St Fl 2 Lebanon PA 17042-6111
Phone: (717) 270-3751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X FI2065058 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD440394 Pennsylvania

Profile Details

NPI number 1760652911
LBN Legal business name Impellizzeri, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2008
Last updated Jul 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760652911 NPPES
Pennsylvania MEDICAID 102496650

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