# UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003448606
- **Authorized official:** STEPHEN VINCENT WITMAN (CFO)
- **Authorized official phone:** (443) 643-3344

## Contact information

- **Practice address:** 500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
- **Practice address phone:** (443) 643-1199
- **Mailing address:** 520 UPPER CHESAPEAKE DR STE 405, BEL AIR, MD 21014-4381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2020
- **Last updated:** 02/11/2020