Provider Demographics
NPI:1831486513
Name:PYRAM, VIRGEN (MD)
Entity Type:Individual
Prefix:
First Name:VIRGEN
Middle Name:
Last Name:PYRAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VIRGEN
Other - Middle Name:
Other - Last Name:SERRANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:740 HAMILTON ST FL 14
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-2425
Mailing Address - Country:US
Mailing Address - Phone:484-809-7112
Mailing Address - Fax:484-809-7110
Practice Address - Street 1:740 W HAMILTON AVE
Practice Address - Street 2:14TH FLOOR
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101
Practice Address - Country:US
Practice Address - Phone:484-809-7112
Practice Address - Fax:484-809-7110
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD452299207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine