Provider Demographics
NPI:1235151507
Name:PEET, PAUL CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:CHRISTOPHER
Last Name:PEET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34382 CARPENTERS WAY
Mailing Address - Street 2:SUITE 7
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4919
Mailing Address - Country:US
Mailing Address - Phone:302-644-6960
Mailing Address - Fax:302-644-6963
Practice Address - Street 1:34382 CARPENTERS WAY
Practice Address - Street 2:SUITE 7
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4919
Practice Address - Country:US
Practice Address - Phone:302-644-6960
Practice Address - Fax:302-644-6963
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100051892084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology