Provider Demographics
NPI:1447263454
Name:PIRRO, ALFRED ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:ALFRED
Middle Name:ANTHONY
Last Name:PIRRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 PAGODA CT
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-7252
Mailing Address - Country:US
Mailing Address - Phone:443-350-4544
Mailing Address - Fax:
Practice Address - Street 1:288 S RIDGECREST AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2838
Practice Address - Country:US
Practice Address - Phone:828-286-5496
Practice Address - Fax:828-286-5494
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT34928207L00000X
NC2014-02375207LC0200X, 208M00000X
MDD0055190208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD050087814OtherMEDICARE RAILROAD
MD353M470FMedicare PIN