Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTIN EBO DJAN, P.A.-C
ActivePhysician Assistant · NEWARK, DE
Registration Details
- NPI Number
- 1780800979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2007 (19.012308038165 yrs)
- Last Updated
- Feb 25, 2008
- License
-
C5-0000499 (DE)
Practice Information
- Address
-
ONE CENTURIAN DRSUITE 310ANEWARK, DE, 19713Browse DE providers · Browse ZIP 19713
- Phone
- 3029186300
- Fax
- 3029186330
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in NEWARK, DE
| Name | Credential | NPI |
|---|---|---|
| THOMAS EDWARDS | PA-C | 1194720672 |
| REBECCA LYNN YOURINSON | PAC | 1104825579 |
| KRISTEN D. MARRA | PA-C | 1689673634 |
| MR. DAVID L FRIESWYK | PA-C | 1023019247 |
| MRS. CRISTINA L. BONILLA-COOKE | PA-C | 1003897216 |
| AMANDA WOJEWODKA CANAVAN | PA-C | 1154307759 |
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.