Provider Demographics
NPI:1326333881
Name:VILBERT, LINDA C (DO)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:VILBERT
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Gender:F
Credentials:DO
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Mailing Address - Street 1:495 THOMAS JONES WAY
Mailing Address - Street 2:SUITE 306
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2553
Mailing Address - Country:US
Mailing Address - Phone:484-879-6992
Mailing Address - Fax:484-879-4476
Practice Address - Street 1:495 THOMAS JONES WAY
Practice Address - Street 2:SUITE 306
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2553
Practice Address - Country:US
Practice Address - Phone:484-879-6992
Practice Address - Fax:484-879-4476
Is Sole Proprietor?:No
Enumeration Date:2011-06-13
Last Update Date:2015-04-02
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Provider Licenses
StateLicense IDTaxonomies
PAOS016835207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA393464EGWMedicare UPIN