NPI | 1023240769 |
---|---|
Doing Business As | PENINSULA GASTROENTEROLOGY |
Entity Type | Organization |
Authorized Contact | DONNA E HORNER Credentialing Coordinator 410-543-7531 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2009-08-13 |
Last Update Date | 2009-08-13 |