Individual provider · NPI-1

Jerome Loeb Bayer

Community/Behavioral Health · Wilmington, DE

NPI number1780453167
StatusActive
Last updated in NPPESDec 27, 2023

Details

NPI
1780453167
Entity type
Individual (NPI-1)
Name
Jerome Loeb Bayer
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 27, 2023
Certification date
Dec 27, 2023
Last updated
Dec 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

3700 Lancaster Pike Ste 305
Wilmington, DE 19805-1511

Phone 302-278-0026

Mailing address

3700 Lancaster Pike Ste 305
Wilmington, DE 19805-1511

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