Organization · NPI-2

A Douglas Chervenak DO PA

Family Medicine · Smyrna, DE

NPI number1376692251
StatusActive
Last updated in NPPESApr 19, 2010

Details

NPI
1376692251
Entity type
Organization (NPI-2)
Legal business name
A Douglas Chervenak DO PA
Organization subpart
No
Enumeration date
Jan 9, 2007
Last updated
Apr 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

319 N Carter Road
Smyrna, DE 19977

Phone 302-653-1050 · Fax 302-653-1089

Mailing address

319 N Carter Road
Smyrna, DE 19977

Phone 302-653-1050 · Fax 302-653-1089

Authorized official

Georgia M Vansant
Office Manager
3026531050

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