Peninsula Gastroenterology Assn , P A | |
9315 Ocean Hwy Suite B Delmar MD 21875-2339 | |
(410) 896-3693 | |
(410) 896-3698 |
Full Name | Peninsula Gastroenterology Assn , P A |
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Speciality | Internal Medicine - Gastroenterology |
Location | 9315 Ocean Hwy, Delmar, Maryland |
Authorized Official Name and Position | Kota Chandrasekhara (PRESIDENT) |
Authorized Official Contact | 4108963693 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peninsula Gastroenterology Assn , P A Po Box 157 Delmar DE 19940-0157 Ph: (410) 896-3693 | Peninsula Gastroenterology Assn , P A 9315 Ocean Hwy Suite B Delmar MD 21875-2339 Ph: (410) 896-3693 |
NPI Number | 1437245859 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 05/11/2009 |
Identifier | Type | State | Issuer |
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1437245859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |