Healthcare Provider Details
I. General information
NPI: 1285965665
Provider Name (Legal Business Name): WOMEN FIRST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/25/2010
Last Update Date: 01/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1082 OLD CHURCHMANS RD SUITE 100
NEWARK DE
19713-2143
US
IV. Provider business mailing address
4735 OGLETOWN STANTON RD SUITE 1109
NEWARK DE
19713-2072
US
V. Phone/Fax
- Phone: 302-368-3257
- Fax: 302-368-3237
- Phone: 302-454-9800
- Fax: 302-454-6446
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:
GREGORY
W
DEMEO
Title or Position: BOARD MEMBER
Credential: D.O.
Phone: 302-454-9800