OrganizationMark J Kanter Md Pc(Peninsula Cosmetic & Reconstructive Surgery)Clinic/CenterAmbulatory Health Care FacilitiesPractice Address4000 Coliseum Dr, Suite 110, Hampton, VA 23666-5906(757) 827-8486PECOS EnrollmentBased on the most recent information from CMS, provider Mark J Kanter Md Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:51 AM.Profile DetailsProvider ID1700967783Provider TypeOrganizationFull NameMark J Kanter Md PcOther NamePeninsula Cosmetic & Reconstructive SurgerySubpartNoEnumeration Date10/18/2006Last Updated7/24/2008Contact InformationPractice LocationPractice Address4000 Coliseum Dr, Suite 110, Hampton, VA 23666-5906Phone(757) 827-8486Fax(757) 827-8718Mailing LocationMailing Address4000 Coliseum Dr, Suite 110, Hampton, VA 23666-5906Phone(757) 827-8486Fax(757) 827-8718Authorized OfficialNameKanter, Mark J (Owner Presisdent Physician)Phone(757) 827-8486Provider TaxonomiesCodeDescriptionLicenseCode261QA1903XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense0101041391VirginiaProvider IdentifiersIDDescriptionIssuerID143014DescriptionOtherIssuerANTHEM AMBULATORY SURGERYVirginiaID143018DescriptionOtherIssuerANTHEM AMBULATORY SURGERYVirginia