Provider Demographics
NPI:1710013834
Name:ZORACH, PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:ZORACH
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:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:MONTCHANIN
Mailing Address - State:DE
Mailing Address - Zip Code:19710-0337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:302-655-4027
Practice Address - Street 1:495 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1463
Practice Address - Country:US
Practice Address - Phone:302-377-5874
Practice Address - Fax:302-655-4027
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100044222084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE510387238MDSOtherBCBS
DE100032535OtherDE PHSYCIANS CARE
DE260041917OtherRAILROAD MEDICARE
DE510387238MDSOtherBCBS
DE100032535OtherDE PHSYCIANS CARE