Provider Demographics
NPI:1710150859
Name:DR. PATRICIA ANDROVICH CHAVARRY, LLC
Entity Type:Organization
Organization Name:DR. PATRICIA ANDROVICH CHAVARRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDROVICH CHAVARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-747-7893
Mailing Address - Street 1:888 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-4148
Mailing Address - Country:US
Mailing Address - Phone:302-747-7893
Mailing Address - Fax:302-747-7894
Practice Address - Street 1:888 S STATE ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-4148
Practice Address - Country:US
Practice Address - Phone:302-747-7893
Practice Address - Fax:302-747-7894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2008040814947261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care