Organization
PENINSULA REGIONAL MEDICAL CENTER
Active
Other names
Dagsboro Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA E HORNER (CREDENTIALING COORDINATOR)
(410) 543-7531
Entity
Organization
Contact information
Practice address
32335 DUPONT BLVD, DAGSBORO FAMILY MEDICINE, DAGSBORO, DE 19939
(302) 732-8400
(302) 732-8404
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7252
(410) 912-6386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/30/2009
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