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Individual

VIVIAN L GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
655 S BAY RD, STE 5B, DOVER, DE 19901-4660
(302) 678-4688
(302) 678-4625
Mailing address
PO BOX 785802, PHILADELPHIA, PA 19178-5802
(855) 709-4535
(302) 733-0854

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C1-0003731
DE
207L00000X
Anesthesiology Physician
D0063951
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00127363
RAILROAD MEDICARE
DE
Enumeration date
07/07/2006
Last updated
05/28/2014
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