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NPI Code Detail

MEDICARE: CHRISTINE MARIE VODA

MEDICARE:   CHRISTINE MARIE VODA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP037722LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235308438
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MARIE VODA
Provider Business Mailing Address
First Line : 1583 STONEY GARDEN RD
Second Line :
City : QUAKERTOWN
State : PA
Zip : 18951-3025
Country : US
Telephone Number : 215-529-5834
Fax Number :
Provider Business Practice Location Address
First Line : 85 FRANKLIN MILLS BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19154-3109
Country : US
Telephone Number : 215-612-1201
Fax Number : 215-612-5864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2008
Last Update Date : 02/21/2008

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Directions to “ CHRISTINE MARIE VODA ” Practice Location

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