JOHN E PEACOCK

MAIN LINE HEALTHCARE

Dr JOHN E PEACOCK is a male medical professional, specializing in Family Medicine. He graduated in 2004 from Philadelphia College Of Osteopathic Medicine.

Contact

MAIN LINE HEALTHCARE

10000 SHANNONDELL DR
AUDUBON
PA
194035615

Tel: 6107282003

JOHN E PEACOCK Information

Npi 1881763613
Pac Id 5395988943
Professional Enrollment Id I20130829000182
Last Name PEACOCK
First Name JOHN
Middle Name E
Suffix
Gender M
Credential
Medical School Name PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2004
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1 GERIATRIC MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties GERIATRIC MEDICINE
Organization Legal Name MAIN LINE HEALTHCARE
Group Practice Pac Id 1951215201
Number Of Group Practice Members 582
Line 1 Street Address 10000 SHANNONDELL DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AUDUBON
State PA
Zip Code 194035615
Phone Number 6107282003
Hospital Affiliation Ccn 1 390195
Hospital Affiliation Lbn 1 MAIN LINE HOSPITAL LANKENAU
Hospital Affiliation Ccn 2 390153
Hospital Affiliation Lbn 2 PAOLI HOSPITAL
Hospital Affiliation Ccn 3 390139
Hospital Affiliation Lbn 3 BRYN MAWR HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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