Individual
ADELINE VANDERVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-1771
Mailing address
100 PENN SQUARE EAST, 9TH FL, CHCA NEUROLOGY, PHILADELPHIA, PA 19107
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD459357
PA
Other
Enumeration date
11/01/2006
Last updated
06/16/2018
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