Provider Demographics
NPI:1679615751
Name:POZZUOLI, FRANK (CPEDC, CO)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:POZZUOLI
Suffix:
Gender:M
Credentials:CPEDC, CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23527 FORD RD
Mailing Address - Street 2:UNIT 2
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-1260
Mailing Address - Country:US
Mailing Address - Phone:519-973-1770
Mailing Address - Fax:
Practice Address - Street 1:23527 FORD RD
Practice Address - Street 2:UNIT 2
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48128-1260
Practice Address - Country:US
Practice Address - Phone:519-973-1770
Practice Address - Fax:519-973-1246
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist