# PENINSULA ORTHOPAEDIC ASSOCIATES, P.A.

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

## Provider details

- **NPI number:** 1326114141
- **Authorized official:** JOHN HOWARD HEDGER M.D. (PRESIDENT AND CEO)
- **Authorized official phone:** (410) 749-4154

## Contact information

- **Practice address:** 32033 BEAVER RUN DR, SALISBURY, MD 21804-1773
- **Practice address phone:** (410) 749-4154
- **Practice address fax:** (410) 860-9583
- **Mailing address:** 111 DAVIS STREET, PO BOX 2415, SALISBURY, MD 21802-2415
- **Mailing address phone:** (410) 749-4154
- **Mailing address fax:** (410) 860-9583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 11/02/2007