Provider Demographics
NPI:1386699122
Name:VIOLA, IRENE (MD)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:VIOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1606 SAVANNAH RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1656
Mailing Address - Country:US
Mailing Address - Phone:302-644-1450
Mailing Address - Fax:302-644-0650
Practice Address - Street 1:1606 SAVANNAH RD
Practice Address - Street 2:SUITE 8
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1656
Practice Address - Country:US
Practice Address - Phone:302-644-1450
Practice Address - Fax:302-644-0650
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0006063207RR0500X
DEC10006063207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H33807Medicare UPIN