Mark Anthony Penta in Newark - Surgical

Mark Anthony Penta - NPI 1154456069

Mark Anthony Penta is a Surgical in Newark, Delaware. Mark Anthony Penta practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mark Anthony Penta is 1154456069. The last update date is 2011-11-22.

Mark Anthony Penta's current location address is 4745 Ogletown Stanton Rd, Newark, Delaware. You can contact this provider via phone number 3027312888 and fax number 3023680103. The mailing address for Mark Anthony Penta is 4745 Ogletown Stanton Rd, Newark, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Anthony Penta
Address 4745 Ogletown Stanton Rd, Newark, Delaware
Phone Number 3027312888
Fax Number 3023680103
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1154456069
Provider Enumeration Date 2007-02-22
Last Updated Date 2011-11-22

Provider Mailing Address Detail

Address 4745 Ogletown Stanton Rd
City Newark
State Delaware (DE)
Post Code 197132067
Phone Number 3027312888
Fax Number 3023680103

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No C5-0000202
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Mark Anthony Penta

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

The Mark Anthony Penta has been issued the NPI (National Provider Identifier) 1154456069. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Mark Anthony Penta's facilities are situated?

The facilities of Mark Anthony Penta are physically located at the following address: 4745 Ogletown Stanton Rd, Newark, DE, 197132067.

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

The specialized area of practice for Mark Anthony Penta is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1154456069 to Mark Anthony Penta?

The Mark Anthony Penta received its 1154456069 assignment from the Centers for Medicare & Medicaid Services on 2007-02-22.

As of what date were the details pertaining to Mark Anthony Penta last refreshed?

The information related to the Mark Anthony Penta, including its address, specialty, and other relevant details, was last updated on 2011-11-22.

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