| NPI | 1164546974 |
|---|---|
| Former Legal Business Name | PENINSULA EYE SURGEONS PA MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GARY P LUPPENS President 410-749-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-11-14 |