Individual
TARAS YURCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 FORREST AVE, DOVER, DE 19904-3309
(302) 674-4627
Mailing address
1100 FORREST AVE, DOVER, DE 19904-3309
(302) 674-4627
(302) 674-4628
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
09/25/2019
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