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Individual

DR. JOHN JOSEPH PELLETTIERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3049 36TH STREET, ASTORIA, NY 11103
(718) 278-2126
(718) 545-8894
Mailing address
3049 36TH STREET, ASTORIA, NY 11103
(718) 278-2126
(718) 545-8894

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
92379
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
629711JP
BLUE CROSS BLUE SHIELD
01
DP420
OXFORD
Enumeration date
02/05/2007
Last updated
07/08/2007
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