Pineda, Maria Carissa
Pineda, Maria Carissa is an individual health care provider with primary practice located at 909 Walnut St Cob, 2Nd Floor, Philadelphia PA 19107-5211. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Pineda, Maria Carissa can be contacted via phone (215) 955-1234.Contact Information
Primary practice address
909 Walnut St Cob, 2Nd Floor
Philadelphia PA 19107-5211
Phone: (215) 955-1234
Fax: (215) 923-6792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD417593 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | MD417593 | Pennsylvania |
Profile Details
| NPI number | 1346260130 |
|---|---|
| LBN Legal business name | Pineda, Maria Carissa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jun 5th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346260130 | NPPES |
| Pennsylvania | MEDICAID | 001910323 | |
| Pennsylvania | MEDICAID | 8870306 |
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