Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PERCIVAL CHRISTOPHER VANDAAM, MPAS, PA-C
ActivePERCIVAL CHRISTOPHER VANDAAM, MPAS, PA-C is a Physician Assistant healthcare provider located in EVERETT, Massachusetts. NPI 1104117431 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EVERETT, MA
Registration Details
- NPI Number
- 1104117431
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2011 (15.279637239322 yrs)
- Last Updated
- Nov 11, 2015
- Licenses
-
PA4149 (MA)PA00579 (RI)
Practice Information
- Address
-
103 GARLAND STREETWHIDDEN HOSPITAL EMERGENCY DEPARTMENTEVERETT, MA, 02149Browse MA providers · Browse ZIP 02149
- Phone
- 6176651000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in EVERETT, MA
| Name | Credential | NPI |
|---|---|---|
| JANET E GUILFOYLE | PA-C | 1588682306 |
| LIZABETH O'CONNOR | PA-C | 1932278249 |
| MS. MARGARITA G BURDETSKY | PAC MS | 1558404814 |
| KATHERINE M RUFO | PA | 1588799787 |
| JULIA FARBER | PA-C | 1457564999 |
| PHILIP A. CLATER | PA-C | 1306089495 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.