Individual
ANTHONY BERNICCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2475 140TH AVE NE BLDG C, BELLEVUE, WA 98005-1892
(425) 828-2257
(425) 896-7034
Mailing address
2475 140TH AVE NE BLDG C, BELLEVUE, WA 98005-1892
(425) 828-2257
(425) 896-7034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4351051121
MI
208000000X
Pediatrics Physician
Primary
MD.MD.70096177
WA
Other
Enumeration date
04/05/2023
Last updated
07/26/2026
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