Organization
PENINSULA SURGICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A BARTKOVICH MD (SECRETARY/TREASURER)
(410) 548-2600
Entity
Organization
Contact information
Practice address
145 E CARROLL ST, SALISBURY, MD 21801-5454
(410) 548-2600
Mailing address
804 SNOW HILL RD, SALISBURY, MD 21804-1938
(410) 548-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R180523
MD
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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