Individual
DR. THOMAS S CERASARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3911 HIGHWAY 17 STE A, MURRELLS INLET, SC 29576-5014
(843) 652-4001
(843) 652-4005
Mailing address
3911A HIGHWAY 17, MURRELLS INLET, SC 29576-5014
(843) 652-4001
(843) 652-4004
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD12505
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000257307
UNISON HEALTH PLAN
SC
05
—
125055
—
SC
01
—
1494054
UNITED HEALTHCARE
SC
01
—
4571675
CIGNA
SC
01
—
5066145
AETNA
SC
01
—
771925
WELLCARE
SC
01
—
80023017
SELECT HEALTH
SC
05
—
GP4522
—
SC
01
—
P00376736
RAILROAD MEDICARE
SC
Enumeration date
07/04/2006
Last updated
12/05/2024
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