Individual
MR. MARK ANTHONY PENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4745 OGLETOWN STANTON RD, SUITE 225, NEWARK, DE 19713-2067
(302) 731-2888
(302) 368-0103
Mailing address
4745 OGLETOWN STANTON RD, SUITE 225, NEWARK, DE 19713-2067
(302) 731-2888
(302) 368-0103
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C5-0000202
DE
Other
Enumeration date
02/22/2007
Last updated
11/22/2011
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