Organization
IRWIN L. LIFRAK, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRWIN LIFRAK M.D. (CEO)
(302) 654-7317
Entity
Organization
Contact information
Practice address
1010 N UNION ST, SUITE 5, WILMINGTON, DE 19805-2731
(302) 654-7317
Mailing address
1010 N UNION ST, SUITE 5, WILMINGTON, DE 19805-2731
(302) 654-7317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10002238
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000548301
—
DE
Enumeration date
08/18/2008
Last updated
02/12/2009
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