Provider Demographics
NPI:1881773067
Name:DA VEIGA, EDWARD C (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:C
Last Name:DA VEIGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1235 OLD YORK ROAD
Mailing Address - Street 2:SUITE113
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001
Mailing Address - Country:US
Mailing Address - Phone:215-481-6180
Mailing Address - Fax:215-481-6341
Practice Address - Street 1:1235 OLD YORK RD
Practice Address - Street 2:SUITE 113
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3800
Practice Address - Country:US
Practice Address - Phone:215-481-6180
Practice Address - Fax:215-481-6341
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427808207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9955062OtherAETNA
OH000000221415OtherUNISON
OH000000527676OtherANTHEM
OH2774556Medicaid
PA102314944Medicaid
OH421778OtherWELLCARE
OH751123OtherBUCKEYE
OHP00406093OtherMEDICARE RAILROAD
OH751123OtherBUCKEYE
OHP00406093OtherMEDICARE RAILROAD
PA111657Medicare PIN