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Organization

PENINSULA NEPHROLOGY ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA HERBERT (SENIOR ADMIN)
(410) 546-4427
Entity
Organization

Contact information

Practice address
1821 SWEETBAY DR STE 1, SALISBURY, MD 21804-1664
(410) 546-4427
(443) 736-4671
Mailing address
1821 SWEETBAY DR STE 1, SALISBURY, MD 21804-1664
(410) 546-4427
(443) 736-4671

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
913731900
MD
Enumeration date
07/19/2006
Last updated
11/06/2025
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