Peninsula Plastic Surgery, P.C.

Specialist · Georgetown, DE

Organization Active NPI

NPI number 1396991675

Practice location

20930 Dupont Blvd
201 Gray Stone Towers
Georgetown, DE 19947-1725
Phone
(410) 546-0464
Fax
(410) 546-8529

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NPI record

NPI
1396991675
Entity type
Organization (Type 2)
Enumeration date
August 18, 2008
Last updated
September 13, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 1997115585 DE

Mailing address

314 W Carroll St
Suite 1
Salisbury, MD 21801-5409
Phone
(410) 546-0464
Fax
(410) 546-8529

Authorized official

Name
Jill G Taylor
Title
Billing Manager
Phone
(410) 546-0464

About Peninsula Plastic Surgery, P.C.

Peninsula Plastic Surgery, P.C. is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 20930 Dupont Blvd, 201 Gray Stone Towers, Georgetown, DE 19947-1725. The NPI number 1396991675 was assigned on August 18, 2008 and the record was last updated on September 13, 2013.

Peninsula Plastic Surgery, P.C. lists a license in the registry: #1997115585 (DE) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jill G Taylor, Billing Manager.

Frequently asked questions

What is the NPI number of Peninsula Plastic Surgery, P.C.?

The NPI number is 1396991675.

What is the phone number of Peninsula Plastic Surgery, P.C.?

The phone number listed for the practice location is (410) 546-0464.

Where is Peninsula Plastic Surgery, P.C. located?

20930 Dupont Blvd, 201 Gray Stone Towers, Georgetown, DE 19947-1725.

What is the taxonomy code for Peninsula Plastic Surgery, P.C.?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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