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Individual
DR. MARIO EMILIO PELLETIER
Active
Individual
DR. MARIO EMILIO PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME159611
FL
207RP1001X
Pulmonary Disease Physician
42560
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129222900
—
FL
05
—
2324105
—
NJ
01
—
42D671
EMPIRE BLUE CROSS
NJ
01
—
ME159611
LICENSE
FL
Enumeration date
03/23/2006
Last updated
08/18/2026
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