Individual provider · Type 1 NPI

Mark Anthony Penta, PA-C

Surgical Physician Assistant · Newark, DE

NPI number 1154456069 Active

Practice location

4745 Ogletown Stanton Rd, Suite 225
Newark, DE 19713-2067

Fax (302) 368-0103

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC5-0000202 (DE)

Surgical Physician Assistant: Definition to come...

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About NPI 1154456069

Mark Anthony Penta, PA-C's National Provider Identifier is 1154456069, issued on Feb 22, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newark, DE. The record was last updated on Nov 22, 2011.