Individual
MICHAEL CHARLES PESCATELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1003 S MAIN ST, BELLINGHAM, MA 02019-1826
(508) 883-0600
(508) 883-5990
Mailing address
15 RAY ST, PROVIDENCE, RI 02906-4814
(617) 877-0665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223185
MA
207R00000X
Internal Medicine Physician
MD11642
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094967
—
MA
Enumeration date
07/15/2006
Last updated
01/02/2017
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