Edward Robert Villella II
Surgeon Vascular Surgeon
1000 Dutch Ridge Rd
Beaver
, Pennsylvania 15009-9727
Edward Robert Villella II
Surgeon Vascular Surgeon
1000 Dutch Ridge Rd
Beaver
, Pennsylvania 15009-9727
(724) 773-4532
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Edward Robert Villella II
- 1000 Dutch Ridge Rd
- Beaver, PA
- Zip : 15009-9727
- Fax : (724) 773-4532
- Phone : (724) 773-8289
Second Address
- Edward Robert Villella II
- 1000 Dutch Ridge Rd
- Beaver, PA
- Zip : 15009-9727
- Fax : (724) 773-4532
- Phone : (724) 773-8289
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MD443921 | PA |
| N | 208600000X | Surgeon | MD443921 | PA |
| N | 208200000X | Surgeon | MT-194653 | PA |
| N | 208600000X | Surgeon | MT-194653 | PA |
| Y | 2086S0129X | Vascular Surgeon | MD443921 | PA |
National Provider Identifier
| NPI | 1033415732 |
|---|---|
| Provider Name | Edward Robert Villella II |
| First Address | Beaver, PA 15009-9727 |
| Second Address | Beaver, PA 15009-9727 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2011 |
| Last Update Date | 22/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.