National Provider Identifier Database

MARC D PELLICCIARO, MD – NPI #1962575951
Addiction Medicine

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


Contact Information

MARC D PELLICCIARO, MD
12729 NORTHUP WAY STE 6
BELLEVUE, WA98005-1935
Phone: 425-467-1000
Fax: 425-467-0100
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for MARC D PELLICCIARO

NPI Number 1962575951
Credentials MD
Entity Individual
Enumeration date 11/16/2006
Last updated 04/17/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • WA License #: MD 00036813
  • AK Medicaid: MD2652
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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