Provider Demographics
NPI:1447647516
Name:CIMINO, VICTORIA (MD MPH)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:CIMINO
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1666 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5547
Mailing Address - Country:US
Mailing Address - Phone:215-493-2231
Mailing Address - Fax:
Practice Address - Street 1:1666 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5547
Practice Address - Country:US
Practice Address - Phone:215-493-2231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD465036207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine