Organization
PENINSULA SURGICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A BARTKOVICH MD (OWNER)
(410) 548-2600
Entity
Organization
Contact information
Practice address
145 E CARROLL ST, SALISBURY, MD 21801-5454
(410) 548-2600
(410) 548-2607
Mailing address
PO BOX 3317, SALISBURY, MD 21802-3317
(410) 548-2600
(410) 548-2607
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
978541800
—
MD
Enumeration date
11/18/2005
Last updated
12/09/2011
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