Individual
DR. JEROME CANADY
Active
Individual
DR. JEROME CANADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
14115
DC
208600000X
Surgery Physician
14115
DC
2086X0206X
Surgical Oncology Physician
14115
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101963446002
—
PA
Enumeration date
01/18/2007
Last updated
11/11/2010
Update your record
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