Individual
CHRISTINE EDITH KERSHNER HORAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
412 SUBURBAN PLZ, NEWARK, DE 19711-3564
(302) 738-3770
(302) 738-4749
Mailing address
412 SUBURBAN PLZ, NEWARK, DE 19711-3564
(302) 738-3770
(302) 738-4749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C20005526
DE
207Q00000X
Family Medicine Physician
H0054380
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001132004
—
DE
01
—
510410752
EMPLOYER IDENT. NUMBER
—
05
—
510410752
—
MD
01
—
P00908838
MEDICARE RAILROAD PROVIDER PTAN
DE
Enumeration date
06/01/2005
Last updated
05/19/2011
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