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Individual

DR. DANIEL P. PELLEGRINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
302 4TH ST, SAUSALITO, CA 94965-2409
(510) 220-9384
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
(817) 702-2977
(817) 702-2140

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G88091
CA
174400000X
Specialist
MD062510L
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
W1873
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001659480
PA
Enumeration date
02/20/2006
Last updated
02/18/2026
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