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Individual

DR. MARCO A DASILVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2202 N JOHN B DENNIS HWY STE 100, KINGSPORT, TN 37660-5904
(423) 578-8500
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101237969
VA
207RH0003X
Hematology & Oncology Physician
Primary
36826
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010030714
VA
05
3879352
TN
Enumeration date
03/02/2006
Last updated
08/16/2024
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