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NPI Code Detail

MEDICARE: DR. SOFRONIO B DELA VEGA M.D.

MEDICARE: DR. SOFRONIO B DELA VEGA M.D.
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
1174400000XSpecialistMD033855LPA

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 : 1851363337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOFRONIO B DELA VEGA M.D.
Provider Business Mailing Address
First Line : 464 MORRISON DRIVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15216-1206
Country : US
Telephone Number : 412-343-8521
Fax Number :
Provider Business Practice Location Address
First Line : 464 MORRISON DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15216-1206
Country : US
Telephone Number : 412-343-8521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 08/28/2012

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