Provider Demographics
NPI:1851730998
Name:PELLETIER, JEAN-SEBASTIEN (MD)
Entity Type:Individual
Prefix:
First Name:JEAN-SEBASTIEN
Middle Name:
Last Name:PELLETIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3459 FIFTH AVENUE, 7 SOUTH
Mailing Address - Street 2:UPMC LIVER CANCER CENTER
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-692-2074
Mailing Address - Fax:412-692-2002
Practice Address - Street 1:3471 FIFTH AVENUE, SUITE 300
Practice Address - Street 2:UPMC LIVER CANCER CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-692-2074
Practice Address - Fax:412-692-2002
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD447563390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program