MEDICARE: DR. EVA E CERNY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	C10002054	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	136J59	OTHER		BC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295835742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EVA E CERNY MD

Provider Business Mailing Address
First Line	:	1177B SOUTH GOVERNORS AVE
Second Line	:
City	:	DOVER
State	:	DE
Zip	:	19904
Country	:	US
Telephone Number	:	302-674-8441
Fax Number	:	302-674-8469

Provider Business Practice Location Address
First Line	:	1177B S GOVERNORS AVE
Second Line	:
City	:	DOVER
State	:	DE
Zip	:	19904-6903
Country	:	US
Telephone Number	:	302-674-8441
Fax Number	:	302-674-8469

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	03/07/2010

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Directions to “ DR. EVA E CERNY MD” Practice Location

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