Provider Demographics
NPI:1265461263
Name:LEWES SURGICAL & MEDICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:LEWES SURGICAL & MEDICAL ASSOCIATES, P.A.
Other - Org Name:LEWES SURGICAL & MEDICAL ASSOCIATES, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEMAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOUD
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:302-945-9730
Mailing Address - Street 1:PO BOX 4110
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888-4110
Mailing Address - Country:US
Mailing Address - Phone:302-945-9730
Mailing Address - Fax:302-945-9732
Practice Address - Street 1:32711 LONG NECK RD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-6678
Practice Address - Country:US
Practice Address - Phone:302-945-9730
Practice Address - Fax:302-945-9732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE870207Medicare ID - Type Unspecified