Healthcare Provider Details
I. General information
NPI: 1841100179
Provider Name (Legal Business Name): EVA GERACIMOS MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
415 MCFARLAN RD STE 215
KENNETT SQUARE PA
19348-2454
US
IV. Provider business mailing address
415 MCFARLAN RD STE 215
KENNETT SQUARE PA
19348-2454
US
V. Phone/Fax
- Phone: 302-388-9174
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EVA
GERACIMOS
Title or Position: OWNER
Credential: MD
Phone: 302-388-9174