Individual
LAURA A VELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-1000
(215) 590-2025
Mailing address
100 E PENN SQ FL 9, PHILADELPHIA, PA 19107-3377
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD450051
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032444970001
—
PA
Enumeration date
06/25/2010
Last updated
08/27/2018
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