Individual
PATRICIA VELOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1068 WEST BALTIMORE PIKE, MEDIA, PA 19063-5177
(610) 891-3229
(610) 627-4297
Mailing address
PO BOX 414853, BOSTON, MA 02241-4853
(706) 650-0705
(706) 650-1034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD421888
PA
208VP0014X
Interventional Pain Medicine Physician
D61690
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406102100
—
MD
Enumeration date
06/17/2006
Last updated
09/06/2011
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