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NPI Code Detail

MEDICARE: DENISE CHERNOFF PA

MEDICARE: DENISE CHERNOFF PA
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
1363A00000XPhysician Assistant008845NY
2363A00000XPhysician AssistantC08704MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568537405
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE CHERNOFF PA
Provider Business Mailing Address
First Line : 2920 HIGHWOODS BLVD
Second Line :
City : RALEIGH
State : NC
Zip : 27604-0010
Country : US
Telephone Number : 877-498-4490
Fax Number :
Provider Business Practice Location Address
First Line : 901 HARRY S TRUMAN DR N
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-5477
Country : US
Telephone Number : 240-677-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 04/27/2023

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Directions to “ DENISE CHERNOFF PA” Practice Location

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