# UPPER CHESAPEAKE ORTHOPEDICS, LLC

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

## Provider details

- **NPI number:** 1003663196
- **Authorized official:** MARCUS THOMAS AUGUSTUS PRIOLO (AO)
- **Authorized official phone:** (443) 643-3344

## Contact information

- **Practice address:** 515 S TOLLGATE RD STE 200, BEL AIR, MD 21014-5234
- **Practice address phone:** (443) 643-3130
- **Mailing address:** 900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
- **Mailing address phone:** (443) 462-5010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2024
- **Last updated:** 05/06/2024