Individual provider · Type 1 NPI
Marc D. Pellicciaro, MD
Addiction Medicine (Psychiatry & Neurology) Physician · Bellevue, WA
NPI number
1962575951
Active · reactivated May 16, 2018
Practice location
12729 Northup Way Ste 6
Bellevue, WA 98005-1935
Fax (425) 467-0100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | MD 00036813 (WA) |
Addiction Medicine (Psychiatry & Neurology) Physician: 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
Another provider at this address
About NPI 1962575951
Marc D. Pellicciaro, MD's National Provider Identifier is 1962575951, issued on Nov 16, 2006. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Bellevue, WA. The record was last updated on Apr 17, 2019.