Individual
DR. CATHERINE E PELLETIER-DATTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 S CHURCH ST, WEST CHESTER, PA 19382-3220
(610) 696-1177
Mailing address
101 E OLNEY AVE, STE 400, PHILADELPHIA, PA 19120-2470
(610) 696-1177
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD426387
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000169257
UNISON
PA
05
—
101504541
—
PA
01
—
1542731
GATEWAY
PA
01
—
1602742
CIGNA
PA
01
—
1745603
BCBS PA
PA
01
—
3945237
AETNA PVN
PA
01
—
707495
UPMC
PA
01
—
7373693
AETNA PIN
PA
01
—
P00267513
RR MEDICARE
PA
Enumeration date
10/17/2005
Last updated
03/03/2020
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