Healthcare Provider Details

I. General information

NPI: 1225411192
Provider Name (Legal Business Name): ANGEL A COX DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2015
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 N MARKET ST
WILMINGTON DE
19802-2219
US

IV. Provider business mailing address

PO BOX 301
JENKINTOWN PA
19046-0301
US

V. Phone/Fax

Practice location:
  • Phone: 302-762-0200
  • Fax: 302-762-0500
Mailing address:
  • Phone: 410-335-0008
  • Fax: 410-335-3113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: ANGEL A. COX
Title or Position: OWNER
Credential: M.D.
Phone: 267-566-0212