Individual
ANGELA VELOUDIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, WEST PAVILION, 3RD FLOOR, PHILADELPHIA, PA 19104-5127
(215) 614-4100
(215) 615-0527
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-9104
(215) 614-4100
(215) 615-0527
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA05527500
NJ
207W00000X
Ophthalmology Physician
Primary
MD034232E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0953105
—
NJ
01
—
2918946
AETNA US HEALTHCARE
NJ
Enumeration date
02/05/2007
Last updated
07/14/2025
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