Individual
GERARD PELLEGRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-4067
Mailing address
990 CORPORATE DR APT 514, WESTBURY, NY 11590-6721
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MB13047000
NJ
208000000X
Pediatrics Physician
Primary
319163-01
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
OS025130
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2019
Last updated
04/28/2026
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