Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD041647L | PA |
NPI | 1003920927 |
---|---|
Provider Name | Dr. Constantine Andreas Serkes |
First Address | Chester Springs, PA 19425-3315 |
Second Address | Exton, PA 19341-2503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 08/07/2007 |