Individual
DR. ALYSSA MARIE PICCILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
500 FAIRMOUNT AVE FL 1, PHILADELPHIA, PA 19123-2890
(267) 909-9594
(267) 367-5559
Mailing address
PO BOX 40068, PHILADELPHIA, PA 19106-0068
(267) 909-9594
(267) 367-5559
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006672
PA
Other
Enumeration date
07/14/2015
Last updated
06/02/2022
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