Doctor Name: | DR. EDWARD K PAVILLARD |
NPI Number: | 1548222979 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS010760L |
Business Practice Address: | 420 W Linfield Trappe Rd Ste 3200 Limerick, PA - 194684278 |
Business Phone Number: | 6104952550 |
Business Fax Number: | 6104952588 |
Mailing Address: | 420 W Linfield Trappe Rd, Ste 3200 LIMERICK |
State: | PA |
Postal Code: | 194684278 |
Phone Number: | 6104952550 |
Fax Number: | 6104952588 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 07/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | OS010760L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |