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Individual

CARLOS A PELLEGRINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195-6165
(206) 598-4477
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00030633
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0231812
L&I
WA
01
1086
INTERNAL ID-MOTOR VEHICLE ID
05
1720163546
WA
Enumeration date
10/27/2006
Last updated
01/25/2013
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