Individual
MR. BRIAN THOMAS PELLICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 BIRNIE AVE STE 201, SPRINGFIELD, MA 01107-1121
(413) 785-4666
(413) 846-4756
Mailing address
300 BIRNIE AVE STE 201, SPRINGFIELD, MA 01107-1121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA102074
MA
Other
Enumeration date
01/14/2020
Last updated
12/08/2025
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