Vandaam, Percival Christopher

Vandaam, Percival Christopher is an individual health care provider with primary practice located at 103 Garland Street Whidden Hospital Emergency Department, Everett MA 02149. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vandaam, Percival Christopher can be contacted via phone (617) 665-1000.

Contact Information

Primary practice address
103 Garland Street Whidden Hospital Emergency Department Everett MA 02149
Phone: (617) 665-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA4149 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00579 Rhode Island

Profile Details

NPI number 1104117431
LBN Legal business name Vandaam, Percival Christopher
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2011
Last updated Nov 11th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers