Individual
JAMES V PELLICANE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
14051 ST FRANCIS BLVD, SUITE 2210, MIDLOTHIAN, VA 23114-3201
(804) 594-3130
(804) 594-3030
Mailing address
14051 ST FRANCIS BLVD, SUITE 2210, MIDLOTHIAN, VA 23114-3201
(804) 594-3130
(804) 594-3030
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101045452
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
10/18/2005
Last updated
11/20/2009
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