Individual
ANDREA W PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
143 CHURCH ST, PHOENIXVILLE, PA 19460-3438
(610) 935-1134
Mailing address
143 CHURCH ST, PHOENIXVILLE, PA 19460-3438
(610) 935-1134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD431194
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019649900001
—
PA
Enumeration date
05/31/2007
Last updated
02/08/2024
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