Theophilus Lewis M.D.

NPI 1053384420 - Surgery - 208600000X

NPI Details
NPI 1053384420
Gender Male
Enumeration Date 02/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
451 CLARKSON AVE
RM B4101
BROOKLYN NY, 11203-2057, US
Phone (718) 245-4146
Fax (718) 245-3011
Business Location
451 CLARKSON AVE
RM B4101
BROOKLYN NY, 11203-2057, US
Phone (718) 245-4146
Fax (718) 245-3011
Toxanomy
Taxonomy Code 208600000X
License State New York
License Number 141168
Remove 1053384420 NPI Number
 

According to our database, Dr. Theophilus Lewis M.D. NPI is 1053384420, taxonomy code is 208600000X and license number is 141168, license state is located at New York. Theophilus Lewis M.D. physically located at 451 Clarkson Ave, Brooklyn NY, 11203-2057. NPI Number Theophilus Lewis M.D. has the Individual type.

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1053384420 NPI number is provided on an as is basis without warranty of any kind. 1053384420 is maintained by the National Plan & Provider Enumeration System. The contents of Theophilus Lewis M.D. are for informational purposes only.