Organization
SAFE HARBOR GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MONDERO DO (OWNER)
(302) 644-9641
Entity
Organization
Contact information
Practice address
110 ANGLERS RD, SUITE 103, LEWES, DE 19958-1105
(302) 644-9641
(302) 644-9646
Mailing address
PO BOX 495, LEWES, DE 19958-0495
(302) 644-9641
(410) 548-3747
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C20005792
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001170903
—
DE
Enumeration date
03/20/2013
Last updated
03/20/2013
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