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Organization
PENINSULA REGIONAL MEDICAL CENTER
Active
Organization
PENINSULA REGIONAL MEDICAL CENTER
Active
Other names
Peninsula Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA E HORNER (CREDENTIALING COORDINATOR)
(410) 543-7531
Entity
Organization
Contact information
Practice address
560 RIVERSIDE DR, SUITE A 206, SALISBURY, MD 21801-4700
(410) 912-5640
(410) 912-5641
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7531
(410) 912-6386
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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