Organization
PENINSULA REGIONAL MEDICAL CENTER
Active
Other names
Peninsula Regional Occupational Health/Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA E HORNER (CREDENTIALING COORDINATOR)
(410) 543-7531
Entity
Organization
Contact information
Practice address
1655 WOODBROOKE DR STE 104, SALISBURY, MD 21804-8502
(410) 548-2700
(410) 548-2608
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7252
(410) 912-6386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2009
Last updated
05/01/2009
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