| A Douglas Chervenak Do Pa | |
|
319 N Carter Road Smyrna DE 19977 | |
| (302) 653-1050 | |
| (302) 653-1089 |
| Full Name | A Douglas Chervenak Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 319 N Carter Road, Smyrna, Delaware |
| Authorized Official Name and Position | Georgia M Vansant (OFFICE MANAGER) |
| Authorized Official Contact | 3026531050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Douglas Chervenak Do Pa 319 N Carter Road Smyrna DE 19977 Ph: (302) 653-1050 | A Douglas Chervenak Do Pa 319 N Carter Road Smyrna DE 19977 Ph: (302) 653-1050 |
| NPI Number | 1376692251 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 04/19/2010 |
| Medicare PECOS PAC ID | 9931255874 |
|---|---|
| Medicare Enrollment ID | O20100419000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376692251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jerome L Abrams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225063829 PECOS PAC ID: 9931279049 Enrollment ID: I20110204000087 |
| Provider Name | A Douglas Chervenak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356491484 PECOS PAC ID: 6103953328 Enrollment ID: I20120607000567 |
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