person
Chanhsamone Syravanh, PA
Medical Physician Assistant in Newark, Delaware
NPI 1376922799

Chanhsamone Syravanh is a Medical Physician Assistant based in Newark, DE and is specialized in Medical. Chanhsamone Syravanh practices in Newark, DE and has the professional credentials of PA. The NPI Number for Chanhsamone Syravanh is 1376922799 and holds a License No. C5-0000559 (Delaware).

The current practice location address for Chanhsamone Syravanh is 4745 Ogletown Stanton Rd, Newark, DE and can be reached out via phone at 302-292-3541 and via fax at 302-292-3542.

Location: 4745 Ogletown Stanton Rd, Newark, DE, 19713-2067
person
Provider Profile Details
NPI Number
1376922799
Provider Name
Chanhsamone Syravanh
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4745 Ogletown Stanton Rd, Newark, DE, 19713-2067
Phone Number
302-292-3541
Fax Number
302-292-3542
Provider Enumeration Date
05/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4745 Ogletown Stanton Rd
City
State
Zip
19713-2067
Phone Number
302-292-3541
Fax Number
302-292-3542
person
Provider Business Mailing Address Details
Address
4745 Ogletown Stanton Rd
City
State
Zip
19713-2067
Phone Number
302-292-3541
Fax Number
302-292-3542
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C5-0000559 (Delaware)
Definition
Definition to come...
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