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1013951979
VIVIANNA MAIA VAN DEERLIN
PHILADELPHIA, PA
NPI
1013951979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: PA MD062112L)
Enumeration Date
2006-06-15
Last Update Date
2011-11-30
Business Address
Dr. VIVIANNA MAIA VAN DEERLIN MD
3400 SPRUCE STREET 7.103 FOUNDERS PAVILLION
PHILADELPHIA, PA 19104
Phone number: 215-662-6550
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Mailing Address
Dr. VIVIANNA MAIA VAN DEERLIN MD
3400 SPRUCE ST 7.103 FOUNDERS PAVILLION
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-6550
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