Healthcare Provider Details

I. General information

NPI: 1508795576
Provider Name (Legal Business Name): COMMERS MEDICAL ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 S DUPONT HWY
DOVER DE
19901-6041
US

IV. Provider business mailing address

PO BOX 363
EDMONDS WA
98020-0363
US

V. Phone/Fax

Practice location:
  • Phone: 402-740-9842
  • Fax:
Mailing address:
  • Phone: 402-740-9842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: TESSA COMMERS
Title or Position: CMO
Credential: MD
Phone: 402-740-9842