Provider Demographics
NPI:1457794000
Name:MIFSUD AUGUSTINE, VICTORIA ANN (MD, FRCP)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ANN
Last Name:MIFSUD AUGUSTINE
Suffix:
Gender:F
Credentials:MD, FRCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 SIDCUP ROAD
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:GREATER LONDON
Mailing Address - Zip Code:SE9 3SB
Mailing Address - Country:GB
Mailing Address - Phone:44788-308-7560
Mailing Address - Fax:
Practice Address - Street 1:755 SIDCUP ROAD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:GREATER LONDON
Practice Address - Zip Code:SE9 3SB
Practice Address - Country:GB
Practice Address - Phone:44788-308-7560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-14
Last Update Date:2013-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program