PENINSULA SURGICAL GROUP PA NPI 1780011312

NPI Information

PENINSULA SURGICAL GROUP, PA is a family nurse practitioner in Salisbury, MD. PENINSULA SURGICAL GROUP, PA NPI is 1780011312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

145 E CARROLL ST
SALISBURY, MD
ZIP 21801-454
Phone: (410) 548-2600

The provider's authorized official is John A Bartkovich .
The authorized official title is Secretary/treasurer and has the following contact phone number (410) 548-2600.

The enumeration date for this NPI number is 9/27/2013 and was last updated on 9/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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