Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | C20005085 | DE |
NPI | 1285726026 |
---|---|
Provider Name | Dr. Mena T. Scavina |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 10/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001663302 | (05) | PA |
1943291 | (05) | NY |
5713102 | (05) | MD |
7372108 | (05) | NJ |
7612509 | (05) | NC |
G73884 | (02) |