Individual
PATRICIA A PISANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DISTEFANO MEDICAL GROUP, 10 WINTHROP STREET, WORCESTER, MA 01655
(802) 388-9885
Mailing address
463 EAST MAIN STREET, EAST MIDDLEBURY, VT 05740
(802) 388-9885
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
216567
MA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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