Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARC D PELLICCIARO, M.D.
DeactivatedDR. MARC D PELLICCIARO, M.D. is a Addiction Psychiatry healthcare provider located in BELLEVUE, Washington. NPI 1962575951 is deactivated in the NPPES registry. Verify at CMS.
Addiction Psychiatry · BELLEVUE, WA
This NPI has been deactivated.
The record was deactivated on May 9, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1962575951
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (11.476712328767 yrs)
- Last Updated
- Apr 17, 2019
- Deactivated
- May 9, 2018
- License
-
MD 00036813 (WA)
Practice Information
- Address
-
12729 NORTHUP WAY STE 6BELLEVUE, WA, 980051935Browse WA providers · Browse ZIP 98005
- Phone
- 4254671000
- Fax
- 4254670100
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
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.