NPI 1013951979

Vivianna Maia van Deerlin, MD

Practitioner Clinical Pathology/Laboratory Medicine Physician Philadelphia, PA

Practice location

Address: 3400 Spruce Street 7.103 Founders Pavillion, Philadelphia, PA 19104
Phone: (215) 662-6550
Fax: (215) 662-7529
Mailing address: 3400 Spruce St 7.103 Founders Pavillion, Philadelphia, PA 19104-4206

Registered specialties

Clinical Pathology/Laboratory Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0105X Licence MD062112L (PA)

Other Pathology providers in Pennsylvania →

Registry record

NPI: 1013951979
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2006
Record last updated: 30 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.