Organization
LOPE T VILLA JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOPE TAN VILLA JR. MD (PRESIDENT)
(410) 296-4242
Entity
Organization
Contact information
Practice address
120 SISTER PIERRE DRIVE, STE 103, TOWSON, MD 21204
(410) 296-4242
(410) 828-5613
Mailing address
120 SISTER PIERRE DRIVE, STE 103, TOWSON, MD 21204
(410) 296-4242
(410) 828-5613
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D15824
MD
Other
Enumeration date
03/27/2006
Last updated
08/22/2020
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