Individual
MR. JOHN DAVID CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4745 OGLETOWN STANTON RD, NEWARK, DE 19713-2067
(302) 733-1000
Mailing address
321 NORMAN DR, NEWARK, DE 19702-2394
(302) 983-2082
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C5-0000384
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5-0000384
PA-C LICENSE NUMBER
DE
Enumeration date
03/27/2007
Last updated
07/08/2007
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