| Doctor Name: | SCOTT JASON PELLO |
| NPI Number: | 1619165867 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA08897600 |
| Business Practice Address: | 15000 Midlantic Drive Suite 102 Mt. Laurel, NJ - 08054 |
| Business Phone Number: | 8562555479 |
| Business Fax Number: | 8563938691 |
| Mailing Address: | 15000 Midlantic Drive, Suite 102 MT. LAUREL |
| State: | NJ |
| Postal Code: | 08054 |
| Phone Number: | 8562555479 |
| Fax Number: | 8563938691 |
| NPI Enumeration Date: | 10/11/2007 |
| NPI Last Update Date: | 09/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P2900X |
| License Number: | 25MA08897600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |