Organization Name: | PENINSULA PLASTIC SURGERY |
NPI Number: | 1396926242 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VINCENT JOSEPH PERROTTA (OWNER/PHYSICIAN) |
Mailing Address: | 30265 Commerce Dr. Suite 208 Millsboro |
State: | DE US |
Postal Code: | 19966 |
Phone Number: | 3026630119 |
Fax Number: | 3026630120 |
NPI Enumeration Date: | 11/20/2007 |
NPI Last Update Date: | 04/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1997115585 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |