Individual
DANA M CAVALCANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
200 STATE STREET, SUITE 205, MEDIA, PA 19063-3434
(610) 521-4112
(610) 521-6864
Mailing address
PO BOX 95000-3505, PHILA, PA 19195-0001
(610) 382-5900
(610) 382-5918
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA053609
PA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
08/01/2014
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