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Stephan J Vivian, MD
Clinical Cardiac Electrophysiology Physician in Newport News, Virginia
NPI 1619975877

Stephan J Vivian is a Clinical Cardiac Electrophysiology Physician based in Fort Wayne, VA and is specialized in Clinical Cardiac Electrophysiology. Stephan J Vivian practices in Newport News, VA and has the professional credentials of MD. The NPI Number for Stephan J Vivian is 1619975877 and holds a License No. 35059262V (Virginia).

The current practice location address for Stephan J Vivian is 500 J Clyde Morris Blvd Fl Annex1, Newport News, VA and can be reached out via phone at 757-594-2074 and via fax at 757-594-3369. You can also correspond with Stephan J Vivian through the mailing address at 7916 W JEFFERSON BLVD, FORT WAYNE, IN - 46804-4140 (mailing address contact number: 260-434-2297).

Location: 500 J Clyde Morris Blvd Fl Annex1, Newport News, VA, 46804-4140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619975877
Provider Name
Stephan J Vivian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 J Clyde Morris Blvd Fl Annex1, Newport News, VA, 46804-4140
Phone Number
757-594-2074
Fax Number
757-594-3369
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619975877 05 VA
P00445778 01 VA MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
500 J Clyde Morris Blvd Fl Annex1
City
Newport News
State
Virginia
Zip
23601-1929
Phone Number
757-594-2074
Fax Number
757-594-3369
person
Provider Business Mailing Address Details
Address
7916 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4140
Phone Number
260-434-2297
Fax Number
260-434-6116
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
01081770A (Indiana)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical Cardiac Electrophysiology
Taxonomy
207RC0001X
License No.
35059262V (Ohio)
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
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