Peninsula Endoscopy Center, Llc

NPI 1023162013 - Clinic/Center - 261QA1903X

NPI Details
NPI 1023162013
Enumeration Date 01/23/2007
Last Updated 09/10/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KOTA L KOTA
Position PRESIDENT
Phone (410) 896-9005
Fax (410) 896-9337
Practice Location
9315 OCEAN HIGHWAY
DELMAR MD, 21875-2339, US
Phone (410) 896-9005
Fax (410) 896-9337
Business Location
9315 OCEAN HIGHWAY
DELMAR MD, 21875-2339, US
Phone (410) 896-9005
Fax (410) 896-9337
Toxanomy
Taxonomy Code 261QA1903X
License State Maryland
License Number 014352
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According to our database, Peninsula Endoscopy Center, Llc NPI is 1023162013, taxonomy code is 261QA1903X and license number is 014352, license state is located at Maryland. Peninsula Endoscopy Center, Llc physically located at 9315 Ocean Highway, Delmar MD, 21875-2339. NPI Number 1033115704 has the healthcare provider type.

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1023162013 NPI number is provided on an as is basis without warranty of any kind. 1023162013 is maintained by the National Plan & Provider Enumeration System. The contents of Peninsula Endoscopy Center, Llc are for informational purposes only.