Peninsula Regional Medical Center

NPI #1083856686 in Laurel, Delaware

Provider Information

NPI Number: 1083856686
Entity Type: Organization
Organization Name: Peninsula Regional Medical Center
Primary Specialty: Family Medicine
Enumeration Date: Mar 27, 2009
Last Updated: Apr 30, 2009

Practice Location

Address: 30668 SUSSEX HWY
Address 2: LAUREL FAMILY MEDICINE
City: Laurel
State: Delaware
ZIP Code: 19956-4421
Phone: (302) 875-6550

Authorized Official

Name: DONNA E HORNER
Title: CREDENTIALING COORDINATOR
Phone: (410) 543-7531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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