person
Dr. Lisa Pedevillano, DO
Vascular Surgery Physician in Philadelphia, Pennsylvania
NPI 1720433535

Lisa Pedevillano is a Vascular Surgery Physician based in Vineland, PA and is specialized in Vascular Surgery. Lisa Pedevillano practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Lisa Pedevillano is 1720433535 and holds a License No. OS023186 (Pennsylvania).

The current practice location address for Lisa Pedevillano is 9501 Roosevelt Blvd Ste 312, Philadelphia, PA and can be reached out via phone at 215-331-7001 and via fax at 215-331-7004. You can also correspond with Lisa Pedevillano through the mailing address at 1430 W SHERMAN AVE, VINELAND, NJ - 08360-6927 (mailing address contact number: 845-797-5195).

Location: 9501 Roosevelt Blvd Ste 312, Philadelphia, PA, 08360-6927
person
Provider Profile Details
NPI Number
1720433535
Provider Name
Lisa Pedevillano
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
9501 Roosevelt Blvd Ste 312, Philadelphia, PA, 08360-6927
Phone Number
215-331-7001
Fax Number
215-331-7004
Provider Enumeration Date
04/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9501 Roosevelt Blvd Ste 312
City
State
Zip
19114-1028
Phone Number
215-331-7001
Fax Number
215-331-7004
person
Provider Business Mailing Address Details
Address
9501 Roosevelt Blvd Ste 312
City
State
Zip
19114-1028
Phone Number
215-331-7001
Fax Number
215-331-7004
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
OS023186 (Pennsylvania)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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