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Individual

CONSTANCE S GERASSIMAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
119 CASSINA DR, MIDDLETOWN, DE 19709-9184
(302) 378-6017
Mailing address
119 CASSINA DR, MIDDLETOWN, DE 19709-9184
(302) 378-6017

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35-067475
OH
208D00000X
General Practice Physician
35.067475
OH
208D00000X
General Practice Physician
Primary
C1-0003051
DE
208D00000X
General Practice Physician
D0065586
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0264422
OH
01
300120838
RRMC
OH
01
CC3678
RRMC
OH
Enumeration date
07/07/2006
Last updated
05/13/2021
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