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Individual
MR. LEO M PISCULLI
Active
Individual
MR. LEO M PISCULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G7322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000G73220
BLUE CROSS
CA
01
—
0120424
WA STATE FUND
WA
Enumeration date
11/21/2006
Last updated
07/23/2018
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