Individual
JOANNE F PELLICANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 PARK ST, HONESDALE, PA 18431-2023
(570) 253-3005
(570) 253-0181
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8226
(570) 253-8228
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD439623
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026384790001
—
PA
Enumeration date
08/25/2010
Last updated
09/17/2014
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