| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 05/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437245859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |