Organization
PREMISE HEALTH OF DELAWARE MEDICAL, P.A.
Active
Other names
AstraZeneca Health & Well Being Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
587 OLD BALTIMORE PIKE, NEWARK, DE 19702-1307
(302) 286-4012
(302) 286-3248
Mailing address
16906 COLLECTION CENTER DR, CHICAGO, IL 60693-1307
(302) 286-4012
(302) 286-3248
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
08/23/2022
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