Individual
JOSEPH RONALD PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 N UNION ST, WILMINGTON, DE 19805-2736
(302) 427-9855
(302) 427-9549
Mailing address
1601 MILLTOWN RD, SUITE 13, WILMINGTON, DE 19808-4027
(302) 993-2330
(302) 993-2344
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C1-0001924
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000112301
—
DE
Enumeration date
05/01/2006
Last updated
12/18/2012
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