Individual
ROBERT F PELLEGRINO JR.
Active
Individual
ROBERT F PELLEGRINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00452600
NJ
363AM0700X
Medical Physician Assistant
MA000693L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568491
GATEWAY
PA
01
—
2013663
HIGHMARK BS FREEDOM BLUE
PA
Enumeration date
11/20/2007
Last updated
06/04/2018
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