Individual
JOHN PELLICCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1206 E NATIONAL AVE, BRAZIL, IN 47834-2718
(812) 442-2480
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01054899A
IN
207L00000X
Anesthesiology Physician
Primary
MD.38635
AL
Other
Enumeration date
07/24/2006
Last updated
09/05/2019
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