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Individual

MARK JAYANATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0816
(570) 271-6367
(570) 271-7142
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD481937
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/17/2015
Last updated
10/23/2023
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