Provider Demographics
NPI:1912077918
Name:PELLECHI, THOMAS E (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:E
Last Name:PELLECHI
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 1:15 E PUTNAM AVE
Mailing Address - Street 2:STE 411
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5424
Mailing Address - Country:US
Mailing Address - Phone:203-661-6106
Mailing Address - Fax:
Practice Address - Street 1:15 E PUTNAM AVE
Practice Address - Street 2:STE 411
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5424
Practice Address - Country:US
Practice Address - Phone:203-661-6106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT037923207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine