OrganizationActive
Premise Health of Delaware Medical, P.A.
NPI 1992096978 · Primary Care Clinic/Center · Newark, DE
Provider details
- NPI number
- 1992096978
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jon Leizman, President
Practice location
587 Old Baltimore Pike
Newark, DE 19702-1307
Phone: (302) 286-4012
Fax: (302) 286-3248
Mailing address
16906 Collection Center Dr
Chicago, IL 60693-1307
Registry dates
- Enumerated
- 2011-04-26
- Last updated
- 2022-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.