Individual
MARIELLE DISCIPULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(724) 745-3077
Mailing address
8810 STAPLEHURST WAY, ELK GROVE, CA 95624-3726
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD490686
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
03/29/2022
Last updated
08/05/2025
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