1639349996 NPI number — DENISE C VIOLA D.O.

Table of content: DENISE C VIOLA D.O. (NPI 1639349996)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639349996 NPI number — DENISE C VIOLA D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VIOLA
Provider First Name:
DENISE
Provider Middle Name:
C
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VIOLA
Provider Other First Name:
DENISE
Provider Other Middle Name:
DA CONCEICAO
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DO
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639349996
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 PARK STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONESDALE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18431
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-253-8226
Provider Business Mailing Address Fax Number:
570-253-8228

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 PARK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONESDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18431-2023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-253-3005
Provider Business Practice Location Address Fax Number:
570-253-0181
Provider Enumeration Date:
03/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  4819 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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