Organization
PENINSULA CARDIOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOANNA M ANDERSON CPC (BILLING MANAGER)
(410) 749-0821
Entity
Organization
Contact information
Practice address
400 EASTERN SHORE DR, SALISBURY, MD 21804-5565
(410) 749-8906
(410) 219-5662
Mailing address
PO BOX 49, SALISBURY, MD 21803-0049
(410) 749-8906
(410) 219-5662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
MD
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
MD
207UN0901X
Nuclear Cardiology Physician
—
MD
2085N0904X
Nuclear Radiology Physician
—
MD
2085R0204X
Vascular & Interventional Radiology Physician
—
MD
2085U0001X
Diagnostic Ultrasound Physician
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911751200
—
MD
01
—
G00061
MEDICARE DELAWARE GROUP NUMBER
DE
Enumeration date
05/24/2005
Last updated
07/21/2022
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