DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOSEPH M PELLERITO JR., PHD, OTRL

Active Sole Proprietor

DR. JOSEPH M PELLERITO JR., PHD, OTRL is a Contractor healthcare provider located in GROSSE POINTE FARMS, Michigan. NPI 1740626399 is currently active in the NPPES registry. Verify at CMS.

Contractor · GROSSE POINTE FARMS, MI

Registration Details

NPI Number
1740626399
Provider Type
Individual
Gender
Male
NPI Issued
May 21, 2013 (13.26921788085 yrs)
Last Updated
May 21, 2013
License
5201001766 (MI)
Sole Proprietor
Yes

Practice Information

Address
18530 MACK AVE STE 235
GROSSE POINTE FARMS, MI, 482363254
Browse MI providers · Browse ZIP 48236
Phone
3136437925
Primary Specialty
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.