Individual
CHARLES A STANISLAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34435 KING STREET ROW, SUITE 1, LEWES, DE 19958-4787
(302) 644-1300
(302) 644-1086
Mailing address
34435 KING STREET ROW STE 1, LEWES, DE 19958-4787
(302) 644-1300
(302) 644-1086
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
C100005349
DE
207QA0505X
Adult Medicine Physician
C100005349
FL
207R00000X
Internal Medicine Physician
Primary
C10005349
DE
Other
Enumeration date
01/10/2006
Last updated
06/16/2011
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