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Organization
VILMA E PESSOA MDPA
Active
Organization
VILMA E PESSOA MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VILMA E. PESSOA (DOCTOR)
(334) 262-2092
Entity
Organization
Contact information
Practice address
1710 NORMAN BRIDGE RD, MONTGOMERY, AL 36104-5631
(334) 262-2092
Mailing address
1710 NORMAN BRIDGE RD, MONTGOMERY, AL 36104-5631
(334) 262-2092
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4362
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000800080
—
AL
01
—
051010265
BLUE CROSS #
AL
Enumeration date
08/08/2006
Last updated
02/09/2011
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