Individual
MR. PAUL C PENNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 N CLAYTON ST, SUITE 407, WILMINGTON, DE 19805-3165
(302) 421-9721
(302) 421-9728
Mailing address
252 CHAPMAN RD, SUITE 150, NEWARK, DE 19702-5436
(302) 366-1929
(302) 366-1094
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C10000416
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000013050501
—
DE
Enumeration date
02/28/2006
Last updated
07/08/2007
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