Organization
PENINSULA PLASTIC SURGERY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT JOSEPH PERROTTA MD. (OWNER/PHYSICIAN)
(412) 546-0464
Entity
Organization
Contact information
Practice address
30265 COMMERCE DR., SUITE 208, MILLSBORO, DE 19966
(302) 663-0119
(302) 663-0120
Mailing address
314 W CARROLL ST, SUITE 1, SALISBURY, MD 21801-5409
(410) 546-0464
(410) 546-8529
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1997115585
DE
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
1997115585
DE
Other
Enumeration date
11/20/2007
Last updated
07/16/2019
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