Pellegrino, Anthony Michael

Pellegrino, Anthony Michael is an individual health care provider with primary practice located at 271 Carew St , Springfield MA 01104-2377. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Pellegrino, Anthony Michael can be contacted via phone (413) 748-9000.

Contact Information

Primary practice address
271 Carew St Springfield MA 01104-2377
Phone: (413) 748-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0661 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AP2303 Massachusetts

Profile Details

NPI number 1083769111
LBN Legal business name Pellegrino, Anthony Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Nov 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083769111 NPPES
New Hampshire MEDICAID 30336642
New Hampshire Other P00730832

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