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

ELISSA PETTINATO, PA-C

Active

ELISSA PETTINATO, PA-C is a Medical Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1962936336 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PHILADELPHIA, PA

Registration Details

NPI Number
1962936336
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2017 (9.3341957190368 yrs)
Last Updated
Apr 12, 2017
Licenses
OA004035 (PA)
25MP00429700 (NJ)
MA058812 (PA)

Practice Information

Address
561 FAIRTHORNE AVE
PHILADELPHIA, PA, 191282412
Browse PA providers · Browse ZIP 19128
Phone
8002350200
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in PHILADELPHIA, PA

Name Credential NPI
MR. JOSEPH D. NORRIS PA-C 1346247905
ROBERT W ROTHROCK PA-C 1508866377
MS. RITA A FOUST PA-C 1114906757
MR. GIUSEPPE ANTONIO SCRENCI MS, PA-C 1427020643
BRYAN DENNIS BOOTH PA-C 1548235179
MR. PAUL HOWELL ROLSTON M.M.SC., P.A.-C 1710953203
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.