IndividualActive
Marc Pellicciaro, M.D.
NPI 1962575951 · Addiction Medicine (Psychiatry & Neurology) Physician · Bellevue, WA
Provider details
- NPI number
- 1962575951
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD 00036813 (WA)
Practice location
12729 Northup Way Ste 6
Bellevue, WA 98005-1935
Phone: (425) 467-1000
Fax: (425) 467-0100
Mailing address
12729 Northup Way Ste 6
Bellevue, WA 98005-1935
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2019-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.