| Premise Health Of Delaware Medical, P.a. | |
|
85 Hosier St Selbyville DE 19975-9300 | |
| (302) 524-1015 | |
| (302) 436-6117 |
| Full Name | Premise Health Of Delaware Medical, P.a. |
|---|---|
| Speciality | Clinic/center |
| Location | 85 Hosier St, Selbyville, Delaware |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Delaware Medical, P.a. 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Delaware Medical, P.a. 85 Hosier St Selbyville DE 19975-9300 Ph: (302) 524-1015 |
| NPI Number | 1205236882 |
|---|---|
| Provider Enumeration Date | 09/02/2014 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205236882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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