Peninsula Plastic Surgery, P.c.

NPI #1396991675 in Georgetown, Delaware

Provider Information

NPI Number: 1396991675
Entity Type: Organization
Organization Name: Peninsula Plastic Surgery, P.c.
Primary Specialty: Specialist
Enumeration Date: Aug 18, 2008
Last Updated: Sep 13, 2013

Practice Location

Address: 20930 DUPONT BLVD
Address 2: 201 GRAY STONE TOWERS
City: Georgetown
State: Delaware
ZIP Code: 19947-1725
Phone: (410) 546-0464

Authorized Official

Name: JILL G TAYLOR
Title: BILLING MANAGER
Phone: (410) 546-0464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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