Individual provider · Type 1 NPI
Raymond J. Vivacqua, MD
Hematology & Oncology Physician · Upland, PA
Practice location
1 Medical Center Blvd, Vivacqua Pavilion Suite 341
Upland, PA 19013-3902
Fax (610) 876-6923
Mailing address
131 Paddock Ln
Media, PA 19063-1109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD027985L (PA) |
| Hematology & Oncology Physician Primary | 207RH0003X | 25MA07633500 (NJ) |
| Hematology & Oncology Physician | 207RH0003X | C10009188 (DE) |
Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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About NPI 1821089350
Raymond J. Vivacqua, MD's National Provider Identifier is 1821089350, issued on Nov 3, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Upland, PA. The record was last updated on Jul 10, 2012.