Individual
DR. EDWARD J. PELLECCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1650 HUNTINGDON PIKE, SUITE 105, MEADOWBROOK, PA 19046-8004
(215) 947-9338
(215) 947-8407
Mailing address
1650 HUNTINGDON PIKE, SUITE 105, MEADOWBROOK, PA 19046-8004
(215) 947-9338
(215) 947-8407
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003280L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004114916
AETNA
PA
05
—
0012055400004
—
PA
01
—
0413304000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
06/08/2006
Last updated
07/08/2010
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