Provider Demographics
NPI:1639349996
Name:VIOLA, DENISE C (DO)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:C
Last Name:VIOLA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:DA CONCEICAO
Other - Last Name:VIOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:601 PARK STREET
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431
Mailing Address - Country:US
Mailing Address - Phone:570-253-8226
Mailing Address - Fax:570-253-8228
Practice Address - Street 1:110 PARK ST
Practice Address - Street 2:
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-2023
Practice Address - Country:US
Practice Address - Phone:570-253-3005
Practice Address - Fax:570-253-0181
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4819207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232417JJMMedicare PIN