Doctor Name: | CONSTANCE S GERASSIMAKIS |
NPI Number: | 1588696058 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | C1-0003051 |
Business Practice Address: | 119 Cassina Dr Middletown, DE - 197099184 |
Business Phone Number: | 3023786017 |
Business Fax Number: | |
Mailing Address: | Po Box 503, MIDDLETOWN |
State: | DE |
Postal Code: | 197090503 |
Phone Number: | 3023786017 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 05/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C1-0003051 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |