Peninsual Regional Medical Center

NPI #1255573853 in Berlin, Maryland

Provider Information

NPI Number: 1255573853
Entity Type: Organization
Organization Name: Peninsual Regional Medical Center
Primary Specialty: Family Medicine
Enumeration Date: Mar 27, 2009
Last Updated: Apr 30, 2009

Practice Location

Address: 10514 RACETRACK RD STE C
Address 2: OCEAN PINES FAMILY MEDICINE
City: Berlin
State: Maryland
ZIP Code: 21811-3241
Phone: (410) 641-8585

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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