Healthcare Provider Details

I. General information

NPI: 1265461263
Provider Name (Legal Business Name): LEWES SURGICAL & MEDICAL ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CEDAR TREE MEDICAL CENTER 32711 LONG NECK RD
MILLSBORO DE
19966-6678
US

IV. Provider business mailing address

PO BOX 4110
WOBURN MA
01888-4110
US

V. Phone/Fax

Practice location:
  • Phone: 302-945-9730
  • Fax: 302-945-9732
Mailing address:
  • Phone: 302-945-9730
  • Fax: 302-945-9732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SEMAAN M ABBOUD
Title or Position: CEO
Credential: MD
Phone: 302-945-9730