Organization
CHAS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ALEXANDER STANISLAV MD (OWNER/PHYSICIAN)
(302) 245-4858
Entity
Organization
Contact information
Practice address
34435 KING STREET ROW STE 3, LEWES, DE 19958-4787
(302) 245-4858
Mailing address
34435 KING STREET ROW STE 3, LEWES, DE 19958-4787
(302) 245-4858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720067747
INDIVIDUAL NPI
—
Enumeration date
07/30/2019
Last updated
07/30/2019
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