Van Deerlin, Vivianna Maia

Van Deerlin, Vivianna Maia is an individual health care provider with primary practice located at 3400 Spruce Street 7.103 Founders Pavillion, Philadelphia PA 19104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Van Deerlin, Vivianna Maia can be contacted via phone (215) 662-6550.

Contact Information

Primary practice address
3400 Spruce Street 7.103 Founders Pavillion Philadelphia PA 19104
Phone: (215) 662-6550
Fax: (215) 662-7529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X MD062112L Pennsylvania

Profile Details

NPI number 1013951979
LBN Legal business name Van Deerlin, Vivianna Maia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 30th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013951979 NPPES
Pennsylvania MEDICAID 0018310970001

Popular Providers