Organization · Type 2 NPI

Peninsula Plastic Surgery, P.c.

Specialist · Berlin, MD

NPI number 1396228995 Active

Practice location

124 N Main St Ste D
Berlin, MD 21811-1060

Mailing address

314 W Carroll St Ste 1
Salisbury, MD 21801-5409

Other practice locations

  • 12308 Ocean Gtwy Ste 8, Ocean City, MD 21842-9341 · (410) 546-0464

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed
Plastic and Reconstructive Surgery Physician 2086S0122XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1396228995

Peninsula Plastic Surgery, P.c.'s National Provider Identifier is 1396228995, issued on Sep 10, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Berlin, MD. The record was last updated on Aug 2, 2021.