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Dr. David James Piccolo, MD
General Practice Physician in Edwardsville, Pennsylvania
NPI 1851821797

David James Piccolo is a General Practice Physician based in Edwardsville, PA. David James Piccolo practices in Edwardsville, PA and has the professional credentials of MD. The NPI Number for David James Piccolo is 1851821797 and holds a License No. 2017014845 (Pennsylvania).

The current practice location address for David James Piccolo is 115 Zerby Ave, Edwardsville, PA and can be reached out via phone at 570-763-5762.

Location: 115 Zerby Ave, Edwardsville, PA, 18704-3255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851821797
Provider Name
David James Piccolo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
115 Zerby Ave, Edwardsville, PA, 18704-3255
Phone Number
570-763-5762
Fax Number
Provider Enumeration Date
06/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
115 Zerby Ave
City
Edwardsville
State
Pennsylvania
Zip
18704-3255
Phone Number
570-763-5762
Fax Number
person
Provider Business Mailing Address Details
Address
115 Zerby Ave
City
Edwardsville
State
Pennsylvania
Zip
18704-3255
Phone Number
570-763-5762
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
2017014845 (Missouri)
Definition
Definition to come...
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