Healthcare Provider Details
I. General information
NPI: 1508373127
Provider Name (Legal Business Name): WOMEN FIRST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2018
Last Update Date: 01/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6300 LIMESTONE RD STE A&B
HOCKESSIN DE
19707-9178
US
IV. Provider business mailing address
4745 OGLETOWN STANTON RD STE 103
NEWARK DE
19713-2070
US
V. Phone/Fax
- Phone: 302-635-9800
- Fax:
- Phone: 302-454-9801
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LYNNE
GRAJEWSKI
Title or Position: CHEIF OPERATING OFFICER
Credential:
Phone: 302-454-9801