Organization
DELAWARE WOMENS IMAGING LLC
Active
Parent organization
DIA PRACTICE ENTERPRISES LLC
Other names
Womens Imaging Center of Delaware
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIA PRACTICE ENTERPRISES LLC
Authorized official
VICTORIA L PEACOCK MS, MS (PROJECT MANAGER)
(302) 993-2330
Entity
Organization
Contact information
Practice address
J-24 OMEGA DRIVE, NEWARK, DE 19713
(302) 738-9100
(302) 739-9748
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
2006602488
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000632802
—
DE
01
—
2006602488
LICENSE NUMBER
DE
Enumeration date
10/03/2006
Last updated
12/20/2012
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