Individual
CARLOS HIPOLITO VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-4829
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4829
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
87220-020
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD454887
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528320603
—
WI
Enumeration date
06/13/2012
Last updated
04/10/2026
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