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Dr. Jill A Pellicoro

Pediatrician Adolescent Medicine

9692 Pennsylvania Ave
Upper Marlboro , Maryland 20772-3670

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Dr. Jill A Pellicoro

Pediatrician Adolescent Medicine

9692 Pennsylvania Ave
Upper Marlboro , Maryland 20772-3670

(301) 599-0476

Write a Review Save Call

Dr. Jill A Pellicoro

Pediatrician Adolescent Medicine

9692 Pennsylvania Ave
Upper Marlboro , Maryland 20772-3670

(301) 599-0476 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatrician
  • Adolescent Medicine

Languages spoken

  • English

Location

9692 Pennsylvania Ave Upper Marlboro , Maryland 20772-3670

First Address

  • Dr. Jill A Pellicoro
  • 9692 Pennsylvania Ave
  • Upper Marlboro, MD
  • Zip : 20772-3670
  • Fax : (301) 599-0476
  • Phone : (301) 599-7300

Second Address

  • Dr. Jill A Pellicoro
  • 9692 Pennsylvania Ave
  • Upper Marlboro, MD
  • Zip : 20772-3670
  • Fax : (301) 599-0476
  • Phone : (301) 599-7300

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FAQs


Where did Dr. Jill A Pellicoro attend graduate school?

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Where did Dr. Jill A Pellicoro do her residency?

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Where did Dr. Jill A Pellicoro do her fellowship?

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Is Dr. Jill A Pellicoro board certified?

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What type of doctor is Dr. Jill A Pellicoro

Pediatrician

In what state does Dr. Jill A Pellicoro practice in?

Maryland

Where is Dr. Jill A Pellicoro ’s practice located?

9692 Pennsylvania Ave , Upper Marlboro, Maryland, 20772-3670

What is Dr. Jill A Pellicoro ’s gender?

Female

Is Dr. Jill A Pellicoro a sole practitioner?

No

Is Dr. Jill A Pellicoro accepting new patients?

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What languages does Dr. Jill A Pellicoro speak?

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Does Dr. Jill A Pellicoro accept insurance?

Yes, Dr. Jill A Pellicoro accepts insurance

Does Dr. Jill A Pellicoro offers telemedicine?

Dr. Jill A Pellicoro has not indicated if she offers telemedicine

What is Dr. Jill A Pellicoro ’s professional license number?

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What is Dr. Jill A Pellicoro ’s NPI number?

1285770214

Does Dr. Jill A Pellicoro have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208000000X Pediatrician D0055269 MD
N 2080A0000X Adolescent Medicine D0055269 MD

National Provider Identifier

NPI 1285770214
Provider Name Dr. Jill A Pellicoro
First Address Upper Marlboro, MD 20772-3670
Second Address Upper Marlboro, MD 20772-3670
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 29/01/2007
Last Update Date 07/02/2012

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
407983300 (05) MD

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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