| NPI | 1700967783 |
|---|---|
| Doing Business As | PENINSULA COSMETIC & RECONSTRUCTIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARK J KANTER Owner Presisdent Physician 757-827-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA 0101041391) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-07-24 |