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Individual

DR. RONALD J. PELLICANI

Active
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Individual

DR. RONALD J. PELLICANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1610
MA
111N00000X
Chiropractor
Primary
3616
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014298
NEIGHBORHOOD HEALTH PLAN
MA
05
—
1610082
—
MA
01
—
181432
AETNA
MA
01
—
994529
NETWORK HEALTH PLAN
MA
05
—
CH3616
—
SC
01
—
Y36167
BC/BS OF MA
MA
Enumeration date
09/26/2006
Last updated
02/26/2021
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