Organization
PENINSULA REGIONAL MEDICAL CENTER
Active
Other names
Peninsula Regional Diabetes Education
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA E PALMER (CREDENTIALING COORDINATOR)
(410) 543-7531
Entity
Organization
Contact information
Practice address
1415 S DIVISION ST, SALISBURY, MD 21804-7291
(410) 572-8848
(410) 572-6890
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7531
(410) 912-6386
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525701800
—
MD
Enumeration date
08/05/2013
Last updated
08/05/2013
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