Jill A Pellicoro in Upper Marlboro - Pediatrics
Jill A Pellicoro - NPI 1285770214
Jill A Pellicoro is a Pediatrics in Upper Marlboro, Maryland. Jill A Pellicoro practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jill A Pellicoro is 1285770214. The last update date is 2012-02-07.
Jill A Pellicoro's current location address is 9692 Pennsylvania Ave, Upper Marlboro, Maryland. You can contact this provider via phone number 3015997300 and fax number 3015990476. The mailing address for Jill A Pellicoro is 9692 Pennsylvania Ave, Upper Marlboro, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill A Pellicoro |
|---|---|
| Address | 9692 Pennsylvania Ave, Upper Marlboro, Maryland |
| Phone Number | 3015997300 |
| Fax Number | 3015990476 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285770214 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2012-02-07 |
Provider Mailing Address Detail
| Address | 9692 Pennsylvania Ave |
|---|---|
| City | Upper Marlboro |
| State | Maryland (MD) |
| Post Code | 207723670 |
| Phone Number | 3015997300 |
| Fax Number | 3015990476 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | D0055269 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 407983300 | MD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jill A Pellicoro?
The Jill A Pellicoro has been issued the NPI (National Provider Identifier) 1285770214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jill A Pellicoro located?
The Jill A Pellicoro is located at 9692 Pennsylvania Ave, Upper Marlboro, MD 207723670.
What is Jill A Pellicoro's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jill A Pellicoro's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285770214 to Jill A Pellicoro?
The Jill A Pellicoro received its 1285770214 assignment from the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date were the details pertaining to Jill A Pellicoro last refreshed?
The information related to the Jill A Pellicoro, including its address, specialty, and other relevant details, was last updated on 2012-02-07.
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