Individual
JOSEPH T CHERNESKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 MAIN ST, TERRYVILLE, CT 06786-5101
(860) 314-6818
(860) 314-6899
Mailing address
PO BOX 2828, BRISTOL, CT 06011-2828
(860) 585-3906
(860) 585-3907
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
037878
CT
207R00000X
Internal Medicine Physician
Primary
037878
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00137878
—
CT
Enumeration date
11/04/2005
Last updated
04/19/2011
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