# PENINSULA ORTHOPAEDIC ASSOC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124194956
- **Authorized official:** ANTHONY JOHN ADRIGNOLO (MD)
- **Authorized official phone:** (410) 749-4154

## Contact information

- **Practice address:** 11107 CATHAGE RD UNIT 101, BERLIN, MD 21811-2155
- **Practice address phone:** (410) 641-0202
- **Mailing address:** PO BOX 69709, BALTIMORE, MD 21264-9709
- **Mailing address phone:** (410) 641-0202
- **Mailing address fax:** (410) 860-9583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 01/07/2026