| Irene C. Viola, Md, Pa | |
|
1606 Savannah Rd Suite 8 Lewes DE 19958-1656 | |
| (302) 644-1450 | |
| (302) 644-0650 |
| Full Name | Irene C. Viola, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1606 Savannah Rd, Lewes, Delaware |
| Authorized Official Name and Position | Irene C Viola (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3026441450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene C. Viola, Md, Pa 1606 Savannah Rd Suite 8 Lewes DE 19958-1656 Ph: (302) 644-1450 | Irene C. Viola, Md, Pa 1606 Savannah Rd Suite 8 Lewes DE 19958-1656 Ph: (302) 644-1450 |
| NPI Number | 1265515464 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 3274511647 |
|---|---|
| Medicare Enrollment ID | O20040712000864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265515464 | NPI | - | NPPES |
| 1000032913 | Other | DE | DELAWARE PHYS CARE |
| DC1004 | Other | DE | RAILROAD MEDICARE |
| 1000032913 | Medicaid | DE | |
| 2363473000 | Other | DE | AMERIHEALTH-PCP |
| 2291852000 | Other | DE | AMERIHEALTH RHEU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C1-0006063 (Delaware) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | C1-0006063 (Delaware) | Secondary |
| Provider Name | Irene C Viola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386699122 PECOS PAC ID: 9335127703 Enrollment ID: I20040712000894 |
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