Individual
EVA M VANEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
3 CRESCENT DR FL 2, PHILADELPHIA, PA 19112-1016
(215) 503-7136
Mailing address
1015 WALNUT ST STE 401, PHILADELPHIA, PA 19107-5005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD486370
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2021
Last updated
09/24/2024
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