Individual
DR. PATRICK PELLECCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 HUNTINGDON PIKE, SUITE 350, MEADDOWBROOK, PA 19046
(215) 947-9272
(215) 947-6487
Mailing address
1650 HUNTINGDON PIKE, SUITE 350, MEADDOWBROOK, PA 19046
(215) 947-9272
(215) 947-6487
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD018379E
PA
2086S0129X
Vascular Surgery Physician
Primary
MD018379E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016178002
—
PA
05
—
001671780001
—
PA
Enumeration date
08/30/2005
Last updated
07/22/2010
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