Provider Demographics
NPI:1619032752
Name:ALDERSON, GINA KAY (MD)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:KAY
Last Name:ALDERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24488 SUSSEX HWY
Mailing Address - Street 2:UNIT 6
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-8470
Mailing Address - Country:US
Mailing Address - Phone:302-628-7730
Mailing Address - Fax:302-628-7791
Practice Address - Street 1:24488 SUSSEX HWY
Practice Address - Street 2:UNIT 6
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-8470
Practice Address - Country:US
Practice Address - Phone:302-628-7730
Practice Address - Fax:302-628-7791
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC10050672084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0855787OtherAETNA
47398OtherCOVENTRY HEALTH CARE
522044472OtherCIGNA
250693OtherUNITED HEALTHCARE
MD35072601OtherCAREFIRST
DE0000927202Medicaid
130016609OtherRAILROAD MEDICARE
522044472OtherBLUE CROSS BLUE SHIELD
522044472OtherBLUE CROSS BLUE SHIELD
MD35072601OtherCAREFIRST