Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peninsula Cosmetic & Reconstructive Surgery Inc

Organization Plastic Surgery Physician · NPI 1720398761

Peninsula Cosmetic & Reconstructive Surgery Inc is a Plastic Surgery Physician in Hampton, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4000 Coliseum Dr Ste 110
Hampton, VA 23666-5906
Phone: (757) 827-8486
Fax: (757) 827-8718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 0101041391 (VA)

Record details

NPI number1720398761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kanter — Owner/ Doctor · (757) 827-8486
NPI enumeratedOctober 8, 2010
Last updated in NPPESOctober 8, 2010
Mailing address4000 Coliseum Dr, Suite 110, Hampton, VA 23666-5906