Healthcare Provider Details

I. General information

NPI: 1326729872
Provider Name (Legal Business Name): RALPH JOSEPH DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2106 SILVERSIDE RD STE 201
WILMINGTON DE
19810-4164
US

IV. Provider business mailing address

2106 SILVERSIDE RD STE 201
WILMINGTON DE
19810-4164
US

V. Phone/Fax

Practice location:
  • Phone: 302-478-8099
  • Fax:
Mailing address:
  • Phone: 302-478-8099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC007382
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE1-0010291
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: