Peter A Davanzo, MD is a
Anesthesiology physician based in Sparta, New Jersey. Peter A Davanzo is licensed to practice in New Jersey (license number 25MA050074) and his current practice location is 350 Sparta Ave, Sparta, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(973) 729-8588.
NPI number for Peter A Davanzo is 1750497160 and his current mailing address is 940 West Port Plaza, Ste 270, St Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750497160.
Physician's Profile
| Full Name | Peter A Davanzo |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 350 Sparta Ave, Sparta, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750497160
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Peter A Davanzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750497160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 25MA050074 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter A Davanzo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Peter A Davanzo, MD
940 West Port Plaza, Ste 270,
St Louis, MO 63146
Ph: (314) 453-0600 | Peter A Davanzo, MD
350 Sparta Ave,
Sparta, NJ 07871-1150
Ph: (973) 729-8588 |
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