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Individual

DR. PATRICK J CANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2002 MEDICAL PKWY, SUITE 670, ANNAPOLIS, MD 21401-3046
(443) 481-1150
(410) 224-0065
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6572
(443) 481-6515

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0056619
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004
BCBS
DC
01
2096584
UNITED HEALTHCARE
MD
01
2133450
MAMSI
MD
01
262679
KAISER
MD
01
2701143
AETNA HMO
MD
01
606897000
FEDERAL WORKMAN'S COMP
MD
01
61009902
BCBS
MD
01
7223307
AETNA PPO
MD
05
807301500
MD
01
9597962002
CIGNA
MD
Enumeration date
07/20/2005
Last updated
12/03/2013
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