| Peninsula Gastroenterology | |
|
560 Riverside Dr Suite A 206 Salisbury MD 21801-4700 | |
| (410) 912-5640 | |
| (410) 912-5641 |
| Full Name | Peninsula Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 560 Riverside Dr, Salisbury, Maryland |
| Authorized Official Name and Position | Donna E Horner (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4105437531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Gastroenterology 100 E Carroll St Salisbury MD 21801-5422 Ph: (410) 543-7531 | Peninsula Gastroenterology 560 Riverside Dr Suite A 206 Salisbury MD 21801-4700 Ph: (410) 912-5640 |
| NPI Number | 1023240769 |
|---|---|
| Provider Enumeration Date | 08/13/2009 |
| Last Update Date | 08/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023240769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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