Individual provider · Type 1 NPI

Lisa Pedevillano, DO

Vascular Surgery Physician · Philadelphia, PA

NPI number 1720433535 Active

Practice location

9501 Roosevelt Blvd Ste 312
Philadelphia, PA 19114-1028

Fax (215) 331-7004

Mailing address

1430 W Sherman Ave
Vineland, NJ 08360-6927

Other practice locations

  • 240 Middletown Blvd Ste 101D, Langhorne, PA 19047-1832 · (215) 331-7001
  • 1430 W Sherman Ave, Vineland, NJ 08360-6927 · (845) 797-5195

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XOS023186 (PA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

2 other providers at this address

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About NPI 1720433535

Lisa Pedevillano, DO's National Provider Identifier is 1720433535, issued on Apr 29, 2016. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 31, 2023.