Organization
PENINSULA GASTROENTEROLOGY ASSN , P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOTA CHANDRASEKHARA M.D. (PRESIDENT)
(410) 896-3693
Entity
Organization
Contact information
Practice address
9315 OCEAN HWY, SUITE B, DELMAR, MD 21875-2339
(410) 896-3693
(410) 896-3698
Mailing address
PO BOX 157, DELMAR, DE 19940-0157
(410) 896-3693
(410) 896-3698
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
05/11/2009
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