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NPI Code Detail

MEDICARE: DR. THOMAS EDWARD PELLECHI MD

MEDICARE: DR. THOMAS EDWARD PELLECHI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician210251NY
2207R00000XInternal Medicine Physician037923CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912077918
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS EDWARD PELLECHI MD
Provider Business Mailing Address
First Line : PO BOX 7411009
Second Line :
City : CHICAGO
State : IL
Zip : 60674-3009
Country : US
Telephone Number : 609-585-1122
Fax Number : 609-585-0309
Provider Business Practice Location Address
First Line : 101 THEALL RD
Second Line :
City : RYE
State : NY
Zip : 10580-1406
Country : US
Telephone Number : 609-585-1122
Fax Number : 609-585-0309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 03/04/2026

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