Provider Demographics
NPI:1548991961
Name:LEWES SURGICAL & MEDICAL ASSOCIATES, PA
Entity type:Organization
Organization Name:LEWES SURGICAL & MEDICAL ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTER
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCIBETTA
Authorized Official - Suffix:
Authorized Official - Credentials:OFFICE MANAGER
Authorized Official - Phone:302-945-9730
Mailing Address - Street 1:32711 LONG NECK RD
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-6678
Mailing Address - Country:US
Mailing Address - Phone:302-945-9730
Mailing Address - Fax:302-945-9732
Practice Address - Street 1:32711 LONG NECK RD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-6678
Practice Address - Country:US
Practice Address - Phone:302-945-9730
Practice Address - Fax:302-945-9732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty