Thomas W Vanarnam JR. PA

NPI 1902094212 - Physician Assistant - 363AS0400X

NPI Details
NPI 1902094212
Gender Male
Enumeration Date 10/11/2007
Last Updated 10/20/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
5719 WIDEWATERS PKWY
SYRACUSE NY, 13214-1985, US
Phone (315) 251-3100
Fax (315) 449-9923
Business Location
5719 WIDEWATERS PKWY
SYRACUSE NY, 13214-1985, US
Phone (315) 251-3100
Fax (315) 449-9923
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 012128
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According to our database, Thomas W Vanarnam JR. PA NPI is 1902094212, taxonomy code is 363AS0400X and license number is 012128, license state is located at New York. Thomas W Vanarnam JR. PA physically located at 5719 Widewaters Pkwy, Syracuse NY, 13214-1985. NPI Number Thomas W Vanarnam JR. PA has the Individual type.

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1902094212 NPI number is provided on an as is basis without warranty of any kind. 1902094212 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas W Vanarnam JR. PA are for informational purposes only.