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PENINSULA SURGICAL GROUP P.A. NPI 1811084304


NPI Information

NPI: 1811084304
Provider Name: PENINSULA SURGICAL GROUP, P.A.

Doing Business As: SALISBURY DIAGNOSTIC AND BREAST CENTER

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
145 EAST CARROLL STREET
SALISBURY, MD
ZIP 21801
Phone: (410) 546-8400
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PENINSULA SURGICAL GROUP, P.A. is a radiology and mammography clinic center in Salisbury, MD. PENINSULA SURGICAL GROUP, P.A. NPI is 1811084304. The provider is registered as an organization entity type.
The provider Is Doing Business As Salisbury Diagnostic And Breast Center.

The provider's business location address is:

145 EAST CARROLL STREET
SALISBURY, MD
ZIP 21801-454
Phone: (410) 546-8400
Fax: (410) 548-2707

The provider's authorized official is Nicholas J. Dudas .
The authorized official title is Physician and has the following contact phone number (410) 548-2600.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0206XClinic/CenterRadiology, MammographyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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