DR. JILL A PELLICORO MD - NPI 1285770214 - Pediatrics in Upper Marlboro, MD

Q: What is Jill Pellicoro's NPI number?

The NPI number for Jill Pellicoro is 1285770214. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Jill Pellicoro's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jill Pellicoro was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Jill A Pellicoro Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JILL A PELLICORO MD (NPI 1285770214) is an individual pediatrics provider in Upper Marlboro, Maryland, licensed in Maryland (D0055269) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1285770214

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. JILL A PELLICOROCredential: MD

Location Address9692 PENNSYLVANIA AVEUpper Marlboro, MD 20772-3670

Mailing Address9692 Pennsylvania AveUpper Marlboro, MD 20772-3670 · (301) 599-7300 · Fax (301) 599-0476

Phone(301) 599-7300

Fax(301) 599-0476

Sole ProprietorNo

Enumeration DateJanuary 29, 2007

Last NPPES UpdateFebruary 7, 2012

✔ NPI 1285770214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MD · D0055269

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License D0055269 (MD)

9692 PENNSYLVANIA AVE, Upper Marlboro, MD 20772

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Other Identifiers 1

Medicaid407983300MD

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Pediatrics