Percival C Vandaam, MPAS, PA-C
Physician Assistant in Everett, Massachusetts
1104117431- Practice location
- 103 Garland Street, Whidden Hospital Emergency Department, Everett, MA 02149
- Phone
- 617-665-1000
- Fax
- —
- Last updated
- November 11, 2015
Percival Christopher Vandaam is a Physician Assistant based in Everett, MA. Percival Christopher Vandaam practices in Everett, MA and has the professional credentials of MPAS, PA-C. The NPI Number for Percival Christopher Vandaam is 1104117431 and holds a License No. pa4149 (MA). The current practice location address for Percival Christopher Vandaam is 103 Garland Street, Whidden Hospital Emergency Department, Everett, MA 02149 and can be reached out via phone at 617-665-1000.
Provider Profile Details
- NPI Number
- 1104117431
- Provider Name
- Percival Christopher Vandaam
- Credential
- MPAS, PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 103 Garland Street, Whidden Hospital Emergency Department, Everett, MA 02149
- Phone Number
- 617-665-1000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 20, 2011
- Last Update Date
- November 11, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Garland Street
Whidden Hospital Emergency Department
Everett, MA 02149 - City
- Everett
- State
- Massachusetts
- Zip
- 02149
- Phone Number
- 617-665-1000
Provider Business Mailing Address Details
- Address
- Cambirdge Health Alliance.
1493 Cambridge Street
Cambridge, MA 02139 - City
- Cambridge
- State
- MA
- Zip
- 02139
- Phone Number
- 617-665-1000
License Information
- License Number (1)
- pa4149
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- pa00579
- License State (2)
- RI
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Percival C Vandaam, MPAS, PA-C?
The NPI number of Percival C Vandaam, MPAS, PA-C is 1104117431. It was assigned on April 20, 2011 and is currently active in the NPPES registry.
What is the specialty of Percival C Vandaam, MPAS, PA-C?
Percival C Vandaam, MPAS, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number pa4149.
Where does Percival C Vandaam, MPAS, PA-C practice?
The practice location is 103 Garland Street, Whidden Hospital Emergency Department, Everett, MA 02149. The office can be reached at 617-665-1000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104117431 directly on the NPPES registry website.