MARK J CANAVAN

WYNNEWOOD, PA
NPI1649242694
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA003209L)
Enumeration Date2006-02-03
Last Update Date2007-07-08
Business Address
-- MARK J CANAVAN PAC
100 W LANCASTER AVE
WYNNEWOOD, PA 19096
Phone number: 610-645-2420
Mailing Address
-- MARK J CANAVAN PAC
PO BOX 3012
WILMINGTON, DE 19804-0012
Phone number: 800-456-4629
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