PREMISE HEALTH OF DELAWARE MEDICAL, P.A. is a clinic center in Selbyville, DE. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PREMISE HEALTH OF DELAWARE MEDICAL, P.A. NPI is 1205236882. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountaire Health And Wellness Center Selbyville.
The provider's business location address is:
85 HOSIER ST
SELBYVILLE, DE
ZIP 19975-300
Phone: (302) 524-1015
Fax: (302) 436-6117
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 08D2087452 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/2/2014 and was last updated on 8/23/2022.