Provider Demographics
NPI:1780634212
Name:PELLESCHI, TODD M (DPM)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:M
Last Name:PELLESCHI
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Gender:M
Credentials:DPM
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Mailing Address - Street 1:689 YORKTOWN ROAD
Mailing Address - Street 2:STE 205
Mailing Address - City:LEWISBERRY
Mailing Address - State:PA
Mailing Address - Zip Code:17339-9258
Mailing Address - Country:US
Mailing Address - Phone:717-938-5200
Mailing Address - Fax:717-938-5230
Practice Address - Street 1:689 YORKTOWN ROAD
Practice Address - Street 2:STE 205
Practice Address - City:LEWISBERRY
Practice Address - State:PA
Practice Address - Zip Code:17339-9258
Practice Address - Country:US
Practice Address - Phone:717-938-5200
Practice Address - Fax:717-938-5230
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2024-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASC00289-L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30638Medicare UPIN