Individual
ENRICO THOMAS PELICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3805
(570) 941-0630
Mailing address
PO BOX G, WAVERLY, PA 18471-0740
(570) 780-0638
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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