Organization
PENINSULA PLASTIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT J PERROTTA MD (OWNER/PRESIDENT)
(410) 546-0464
Entity
Organization
Contact information
Practice address
124 N MAIN ST STE D, BERLIN, MD 21811-1060
(410) 546-0464
Mailing address
314 W CARROLL ST STE 1, SALISBURY, MD 21801-5409
(410) 546-0464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
09/10/2018
Last updated
08/02/2021
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