Provider Demographics
NPI:1306847835
Name:POPII, VIOLETA (MD)
Entity Type:Individual
Prefix:
First Name:VIOLETA
Middle Name:
Last Name:POPII
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VIOLETA
Other - Middle Name:
Other - Last Name:POPII BOTEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:931 GEDAR GROVE ROAD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096
Mailing Address - Country:US
Mailing Address - Phone:215-287-3788
Mailing Address - Fax:
Practice Address - Street 1:551 W LANCASTER AVE STE 205
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1419
Practice Address - Country:US
Practice Address - Phone:484-939-9721
Practice Address - Fax:484-275-1339
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425610207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA094045HK1Medicare PIN
PA1013482310002Medicaid
PA23-2359401OtherMLHC TAX ID