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Individual

DEON WARREN VIGILANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1503 LANSDOWNE AVE STE 3003, DARBY, PA 19023-1308
(484) 494-5344
Mailing address
1503 LANSDOWNE AVE STE 3003, DARBY, PA 19023-1308
(484) 494-5344

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01065402
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD458690
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103140222
PA
05
200925320
IN
Enumeration date
02/16/2007
Last updated
07/21/2022
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