Vivianna Maia Van Deerlin MD

NPI 1013951979 - Pathology - 207ZP0105X

NPI Details
NPI 1013951979
Gender Female
Enumeration Date 06/15/2006
Last Updated 11/30/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
3400 SPRUCE STREET
7.103 FOUNDERS PAVILLION
PHILADELPHIA PA, 19104, US
Phone (215) 662-6550
Fax (215) 662-7529
Business Location
3400 SPRUCE ST
7.103 FOUNDERS PAVILLION
PHILADELPHIA PA, 19104-4206, US
Phone (215) 662-6550
Fax
Toxanomy
Taxonomy Code 207ZP0105X
License State Pennsylvania
License Number MD062112L
Remove 1013951979 NPI Number
 

According to our database, Dr. Vivianna Maia Van Deerlin MD NPI is 1013951979, taxonomy code is 207ZP0105X and license number is MD062112L, license state is located at Pennsylvania. Vivianna Maia Van Deerlin MD physically located at 3400 Spruce Street, Philadelphia PA, 19104. NPI Number Vivianna Maia Van Deerlin MD has the Individual type.

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1013951979 NPI number is provided on an as is basis without warranty of any kind. 1013951979 is maintained by the National Plan & Provider Enumeration System. The contents of Vivianna Maia Van Deerlin MD are for informational purposes only.