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Dr. Marc D Pellicciaro, MD
Addiction Medicine (Psychiatry & Neurology) Physician in Bellevue, Washington
NPI 1962575951

Marc D Pellicciaro is an Addiction Medicine (Psychiatry & Neurology) Physician based in Bellevue, WA and is specialized in Addiction Medicine. Marc D Pellicciaro practices in Bellevue, WA and has the professional credentials of MD. The NPI Number for Marc D Pellicciaro is 1962575951 and holds a License No. MD 00036813 (Washington).

The current practice location address for Marc D Pellicciaro is 12729 Northup Way Ste 6, Bellevue, WA and can be reached out via phone at 425-467-1000 and via fax at 425-467-0100.

Location: 12729 Northup Way Ste 6, Bellevue, WA, 98005-1935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962575951
Provider Name
Marc D Pellicciaro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12729 Northup Way Ste 6, Bellevue, WA, 98005-1935
Phone Number
425-467-1000
Fax Number
425-467-0100
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD2652 05 AK
institution
Provider Business Practice Location Address Details
Address
12729 Northup Way Ste 6
City
Bellevue
State
Washington
Zip
98005-1935
Phone Number
425-467-1000
Fax Number
425-467-0100
person
Provider Business Mailing Address Details
Address
12729 Northup Way Ste 6
City
Bellevue
State
Washington
Zip
98005-1935
Phone Number
425-467-1000
Fax Number
425-467-0100
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
MD 00036813 (Washington)
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
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