Peninsula Regional Medical Center

NPI #1376785998 in Salisbury, Maryland

Provider Information

NPI Number: 1376785998
Entity Type: Organization
Organization Name: Peninsula Regional Medical Center
Primary Specialty: Emergency Medicine
Enumeration Date: Mar 27, 2009
Last Updated: May 1, 2009

Practice Location

Address: 1655 WOODBROOKE DR STE 104
City: Salisbury
State: Maryland
ZIP Code: 21804-8502
Phone: (410) 548-2700

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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