Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME0030210 | FL |
NPI | 1003865262 |
---|---|
Provider Name | Marcos M Chertman |
First Address | Miami, FL 33125-1673 |
Second Address | Miami, FL 33125-1673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 16/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036594700 | (05) | FL |
AC9526558 | PRESCRIBING NUMBER (01) | FL |
D85885 | (02) | FL |