Organization
FIRST STATE WOMEN'S CARE, P.A.
Active
Other names
Ostrum & Wisniewski MD's, PA
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE M GRAJEWSKI (PRACTICE ADMINISTRATOR)
(302) 454-9800
Entity
Organization
Contact information
Practice address
4745 OGLETOWN STANTON RD, SUITE 106, NEWARK, DE 19713-2067
(302) 454-9800
(302) 454-6446
Mailing address
4735 OGLETOWN STANTON RD, SUITE 1109, NEWARK, DE 19713-2072
(302) 454-9800
(302) 454-6446
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0794507000
AMERIHEALTH
—
01
—
304495
COVENTRY
DE
01
—
55324
AETNA
—
Enumeration date
06/02/2006
Last updated
02/01/2010
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