Organization
PENINSULA COSMETIC & RECONSTRUCTIVE SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J KANTER M.D. (OWNER/ DOCTOR)
(757) 827-8486
Entity
Organization
Contact information
Practice address
4000 COLISEUM DR, SUITE 110, HAMPTON, VA 23666-5906
(757) 827-8486
(757) 827-8718
Mailing address
4000 COLISEUM DR, SUITE 110, HAMPTON, VA 23666-5906
(757) 827-8486
(757) 827-8718
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101041391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6901409
—
VA
Enumeration date
10/08/2010
Last updated
10/08/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us