Mark J Canavan in Wilmington - Physician Assistant

Mark J Canavan - NPI 1649242694

Mark J Canavan is a Physician Assistant in Wilmington, Delaware. Mark J Canavan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark J Canavan is 1649242694. The last update date is 2007-07-08.

Mark J Canavan's current location address is Po Box 3012, Wilmington, Delaware. You can contact this provider via phone number 8004564629 and fax number 3022242848. The mailing address for Mark J Canavan is Po Box 3012, Wilmington, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark J Canavan
Address Po Box 3012, Wilmington, Delaware
Phone Number 8004564629
Fax Number 3022242848
Sole Proprietor X
Credentials PAC

NPI Number Detail

NPI Number 1649242694
Provider Enumeration Date 2006-02-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 3012
City Wilmington
State Delaware (DE)
Post Code 198040012
Phone Number 8004564629
Fax Number 3022242848

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No MA003209L
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Mark J Canavan

What is the unique identification code assigned to Mark J Canavan by the Centers for Medicare & Medicaid Services?

The Mark J Canavan has been issued the NPI (National Provider Identifier) 1649242694. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mark J Canavan is located?

The Mark J Canavan is situated at the following address: Po Box 3012, Wilmington, DE, 198040012.

What is Mark J Canavan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark J Canavan is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When did Mark J Canavan receive its 1649242694 assignment?

The Mark J Canavan was assigned its 1649242694 on 2006-02-03, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Mark J Canavan last refreshed?

The information related to the Mark J Canavan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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