Marco A Dasilva MD

NPI 1063489649 - Internal Medicine - 207RH0003X

NPI Details
NPI 1063489649
Gender Male
Enumeration Date 03/02/2006
Last Updated 08/06/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
4485 W STONE DR
SUITE 200
KINGSPORT TN, 37660-1050, US
Phone (423) 224-3150
Fax (423) 224-3169
Business Location
999 EXECUTIVE PARK BLVD
SUITE 201
KINGSPORT TN, 37660-4632, US
Phone (423) 224-3250
Fax (423) 224-3258
Toxanomy
Taxonomy Code 207RH0003X
License State Virginia
License Number 0101237969
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According to our database, Dr. Marco A Dasilva MD NPI is 1063489649, taxonomy code is 207RH0003X and license number is 0101237969, license state is located at Virginia. Marco A Dasilva MD physically located at 4485 W Stone Dr, Kingsport TN, 37660-1050. NPI Number Marco A Dasilva MD has the Individual type.

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1063489649 NPI number is provided on an as is basis without warranty of any kind. 1063489649 is maintained by the National Plan & Provider Enumeration System. The contents of Marco A Dasilva MD are for informational purposes only.