Individual
MARK T. PELESCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5000 TILGHMAN ST, STE 240, ALLENTOWN, PA 18104
(610) 395-4044
(610) 395-5693
Mailing address
5000 TILGHMAN ST, STE 240, ALLENTOWN, PA 18104
(610) 395-4044
(610) 395-5693
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN297335L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001835828
—
PA
01
—
50090036
CAPITAL BC
PA
01
—
PE888603
HIGHMARK BS (TRADITIONAL INDEMNITY PARTICIPATING)
PA
Enumeration date
11/17/2005
Last updated
01/06/2010
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