Organization
PENINSULA PLASTIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL G TAYLOR (BILLING MANAGER)
(410) 546-0464
Entity
Organization
Contact information
Practice address
20930 DUPONT BLVD, 201 GRAY STONE TOWERS, GEORGETOWN, DE 19947-1725
(410) 546-0464
(410) 546-8529
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
Primary
1997115585
DE
Other
Enumeration date
08/18/2008
Last updated
09/13/2013
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