Individual
JAMES V DICANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 430, ANNAPOLIS, MD 21401-3046
(410) 266-2700
(410) 266-0040
Mailing address
2002 MEDICAL PKWY, SUITE 430, ANNAPOLIS, MD 21401-3046
(410) 266-2700
(410) 266-0040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001024
MD
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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