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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDWARD ROBERT VILLELLA II, M.D.

Active Sole Proprietor

EDWARD ROBERT VILLELLA II, M.D. is a Vascular Surgery healthcare provider located in BEAVER, Pennsylvania. NPI 1033415732 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · BEAVER, PA

Registration Details

NPI Number
1033415732
Provider Type
Individual
Gender
Male
NPI Issued
Jan 28, 2011 (15.534755474449 yrs)
Last Updated
Apr 22, 2019
Licenses
MT-194653 (PA)
MD443921 (PA)
MD443921 (PA)
Sole Proprietor
Yes

Practice Information

Address
1000 DUTCH RIDGE RD
BEAVER, PA, 150099727
Browse PA providers · Browse ZIP 15009
Phone
7247738289
Fax
7247734532
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
General Surgery
Additional Specialty
Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.