| Chas Medicine Llc | |
|
34435 King Street Row Ste 3 Lewes DE 19958-4787 | |
| (302) 245-4858 | |
| Not Available |
| Full Name | Chas Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 34435 King Street Row Ste 3, Lewes, Delaware |
| Authorized Official Name and Position | Charles Alexander Stanislav (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3022454858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chas Medicine Llc 34435 King Street Row Ste 3 Lewes DE 19958-4787 Ph: (302) 245-4858 | Chas Medicine Llc 34435 King Street Row Ste 3 Lewes DE 19958-4787 Ph: (302) 245-4858 |
| NPI Number | 1326692112 |
|---|---|
| Provider Enumeration Date | 07/30/2019 |
| Last Update Date | 07/30/2019 |
| Medicare PECOS PAC ID | 4981030590 |
|---|---|
| Medicare Enrollment ID | O20200130000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326692112 | NPI | - | NPPES |
| 1720067747 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles A Stanislav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720067747 PECOS PAC ID: 5597667766 Enrollment ID: I20050712000479 |
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