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MARK A PENTA, PA-C – NPI #1154456069
Surgical

NPI Profile for MARK A PENTA in NEWARK, DE.

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Contact Information

MARK A PENTA, PA-C
4745 OGLETOWN STANTON RD
SUITE 225
NEWARK, DE  19713-2067
 Phone: 302-731-2888
 Fax: 302-368-0103
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgical

 363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARK A PENTA · (Male)

NPI # 1154456069
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/22/2007
Last updated 11/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C5-0000202
Hospital affiliation(s)
  • CHRISTIANA CARE HEALTH SERVICES INC. - (Acute Care)
    4755 OGLETOWN-STANTON ROAD
    NEWARK, DE 19718
  • UNION HOSPITAL OF CECIL COUNTY - (Acute Care)
    106 BOW STREET
    ELKTON, MD 21921
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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