Irene C. Viola, Md, Pa | |
1606 Savannah Rd Suite 8 Lewes DE 19958-1656 | |
(302) 644-1450 | |
(302) 644-0650 |
Full Name | Irene C. Viola, Md, Pa |
---|---|
Speciality | Internal Medicine |
Location | 1606 Savannah Rd, Lewes, Delaware |
Authorized Official Name and Position | Irene C Viola (PHYSICIAN/OWNER) |
Authorized Official Contact | 3026441450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Irene C. Viola, Md, Pa 1606 Savannah Rd Suite 8 Lewes DE 19958-1656 Ph: (302) 644-1450 | Irene C. Viola, Md, Pa 1606 Savannah Rd Suite 8 Lewes DE 19958-1656 Ph: (302) 644-1450 |
NPI Number | 1265515464 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 3274511647 |
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Medicare Enrollment ID | O20040712000864 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265515464 | NPI | - | NPPES |
1000032913 | Other | DE | DELAWARE PHYS CARE |
DC1004 | Other | DE | RAILROAD MEDICARE |
1000032913 | Medicaid | DE | |
2363473000 | Other | DE | AMERIHEALTH-PCP |
2291852000 | Other | DE | AMERIHEALTH RHEU |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C1-0006063 (Delaware) | Primary |
207RR0500X | Internal Medicine - Rheumatology | C1-0006063 (Delaware) | Secondary |
Provider Name | Irene C Viola |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386699122 PECOS PAC ID: 9335127703 Enrollment ID: I20040712000894 |
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