Peter E Vonderau in Philadelphia - Interventional Pain Medicine
Peter E Vonderau - NPI 1174500821
Peter E Vonderau is a Interventional Pain Medicine in Philadelphia, Pennsylvania. Peter E Vonderau practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Peter E Vonderau is 1174500821. The last update date is 2023-07-11.
Peter E Vonderau's current location address is P. O. Box 715868, Philadelphia, Pennsylvania. You can contact this provider via phone number 8042153063 and fax number 6053414501. The mailing address for Peter E Vonderau is P. O. Box 715868, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter E Vonderau |
|---|---|
| Address | P. O. Box 715868, Philadelphia, Pennsylvania |
| Phone Number | 8042153063 |
| Fax Number | 6053414501 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174500821 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2023-07-11 |
Provider Mailing Address Detail
| Address | P. O. Box 715868 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191715868 |
| Phone Number | 8042153063 |
| Fax Number | 6053414501 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | 7446 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1174500821 | SD | TLC ADVANTAGE, L.L.C. | |
| 1174500821 | SD | -- | |
| 1174500821 | SD | SANFORD HEALTH PLAN | |
| 1174500821 | SD | TRICARE | |
| 1174500821 | SD | WELLMARK BCBS | |
| 23-00706 | SD | MEDICA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Peter E Vonderau by the Centers for Medicare & Medicaid Services?
The Peter E Vonderau has been assigned the NPI (National Provider Identifier) 1174500821 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Peter E Vonderau?
The Peter E Vonderau is physically situated at P. O. Box 715868, in the city of Philadelphia, state of PA, with the postal code 191715868.
What is the Peter E Vonderau's area of specialization and corresponding taxonomy classification?
The Peter E Vonderau's specialty field is Interventional Pain Medicine, and it falls under the taxonomy code 208Vp0014X, which categorizes healthcare providers based on their specialties.
On what date was the 1174500821 assigned to Peter E Vonderau?
The Peter E Vonderau was issued its 1174500821 on 2005-12-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Peter E Vonderau, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Peter E Vonderau, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-07-11.
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