Provider Demographics
NPI:1245386770
Name:VIOLA, JOANNE L (MD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:L
Last Name:VIOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30170
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-7170
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 SOUTH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-5057
Practice Address - Country:US
Practice Address - Phone:302-325-2309
Practice Address - Fax:302-325-6365
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10005411207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE014800C00Medicare PIN
DEG85050Medicare UPIN