Peacock, Thomas E

Peacock, Thomas E is an individual health care provider with primary practice located at 915 Lawn Ave , Sellersville PA 18960-1551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Peacock, Thomas E can be contacted via phone (215) 453-3300.

Contact Information

Primary practice address
915 Lawn Ave Sellersville PA 18960-1551
Phone: (215) 453-3300
Fax: (215) 453-3306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD027674E Pennsylvania

Profile Details

NPI number 1528063195
LBN Legal business name Peacock, Thomas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Sep 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528063195 NPPES
Pennsylvania MEDICAID 0010069020004

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