Individual
DR. BRENDA LEE PELLICANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11300 ROCKVILLE PIKE STE 911, NORTH BETHESDA, MD 20852-3034
(301) 810-3600
(313) 429-7931
Mailing address
11300 ROCKVILLE PIKE STE 911, NORTH BETHESDA, MD 20852-3034
(301) 810-3600
(313) 429-7931
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD0075639
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2007
Last updated
10/18/2021
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