Provider Demographics
NPI:1992739676
Name:COKER, JOAN F (MD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:F
Last Name:COKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:700 PRIDES XING STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-6109
Mailing Address - Country:US
Mailing Address - Phone:302-998-0300
Mailing Address - Fax:302-543-8456
Practice Address - Street 1:1401 FOULK ROAD
Practice Address - Street 2:SUITE 205
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803
Practice Address - Country:US
Practice Address - Phone:302-998-0300
Practice Address - Fax:302-478-8069
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10008417207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEC1-0008417OtherLICENSE NUMBER
DE260224134Medicaid
DEG02666D01Medicare PIN