LISA PEDEVILLANO

PHILADELPHIA, PA
NPI1720433535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2086S0129X Surgery, Vascular Surgery
(Licence: PA  OS023186)
Enumeration Date2016-04-29
Last Update Date2023-10-31
Business Address
Dr. LISA PEDEVILLANO DO
9501 ROOSEVELT BLVD STE 312
PHILADELPHIA, PA 19114-1028
Phone number: 215-331-7001
Mailing Address
Dr. LISA PEDEVILLANO DO
1430 W SHERMAN AVE
VINELAND, NJ 08360-6927
Phone number: 845-797-5195