Provider Demographics
NPI:1750577037
Name:DELAWARE VALLEY ENT CORPORATION
Entity type:Organization
Organization Name:DELAWARE VALLEY ENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:FRANCISCA
Authorized Official - Last Name:COKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-291-2013
Mailing Address - Street 1:PO BOX 9557
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-0557
Mailing Address - Country:US
Mailing Address - Phone:302-427-2444
Mailing Address - Fax:
Practice Address - Street 1:1508 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4338
Practice Address - Country:US
Practice Address - Phone:302-427-2444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10008417207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty