Marc D Pellicciaro in Bellevue - Addiction Medicine
Marc D Pellicciaro - NPI 1962575951
Marc D Pellicciaro is a Addiction Medicine in Bellevue, Washington. Marc D Pellicciaro practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Marc D Pellicciaro is 1962575951. The last update date is 2019-04-17.
Marc D Pellicciaro's current location address is 12729 Northup Way Ste 6, Bellevue, Washington. You can contact this provider via phone number 4254671000 and fax number 4254670100. The mailing address for Marc D Pellicciaro is 12729 Northup Way Ste 6, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc D Pellicciaro |
|---|---|
| Address | 12729 Northup Way Ste 6, Bellevue, Washington |
| Phone Number | 4254671000 |
| Fax Number | 4254670100 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962575951 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2019-04-17 |
Provider Mailing Address Detail
| Address | 12729 Northup Way Ste 6 |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980051935 |
| Phone Number | 4254671000 |
| Fax Number | 4254670100 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | MD 00036813 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD2652 | AK | -- |
Post Comment/ Review Below
What is the Marc D Pellicciaro's unique identification number?
The Marc D Pellicciaro has been assigned the NPI (National Provider Identifier) Number 1962575951 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Marc D Pellicciaro is physically located?
The Marc D Pellicciaro is physically situated at the following address: 12729 Northup Way Ste 6, Bellevue, WA, 980051935.
What is Marc D Pellicciaro's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marc D Pellicciaro's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2084A0401X.
On what date did Marc D Pellicciaro receive its 1962575951 assignment from the Centers for Medicare & Medicaid Services?
The Marc D Pellicciaro was assigned its 1962575951 on 2006-11-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Marc D Pellicciaro, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marc D Pellicciaro, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-04-17.