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

Organization Specialist · NPI 1396991675

Peninsula Plastic Surgery, PC is a Specialist in Georgetown, Delaware. Licensed in Delaware. Registered with an NPI since 2008.

Licensed in
DE
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20930 Dupont Blvd 201 Gray Stone Towers
Georgetown, DE 19947-1725
Phone: (410) 546-0464
Fax: (410) 546-8529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1997115585 (DE)

Record details

NPI number1396991675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Taylor — Billing Manager · (410) 546-0464
NPI enumeratedAugust 18, 2008
Last updated in NPPESSeptember 13, 2013
Mailing address314 W Carroll St, Suite 1, Salisbury, MD 21801-5409

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