Individual
DR. MARIA CARISSA PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 WALNUT ST, COB, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-1234
(215) 923-6792
Mailing address
909 WALNUT ST, COB, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-1234
(215) 923-6792
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD417593
PA
2084V0102X
Vascular Neurology Physician
MD417593
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001910323
—
PA
05
—
8870306
—
NJ
Enumeration date
07/21/2006
Last updated
06/05/2014
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