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Organization
CHESAPEAKE ORTHOPAEDIC & SPORTS MEDICINE CENTER
Active
Organization
CHESAPEAKE ORTHOPAEDIC & SPORTS MEDICINE CENTER
Active
Parent organization
CHESAPEAKE ORTHOPAEDIC & SPORTS MEDICINE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHESAPEAKE ORTHOPAEDIC & SPORTS MEDICINE CENTER
Authorized official
MS. SHERRIE HARE (CREDENTIALING COORDINATOR)
(410) 768-5555
Entity
Organization
Contact information
Practice address
7556 TEAGUE RD, SUITE 240, HANOVER, MD 21076
(410) 768-5555
(410) 799-1441
Mailing address
200 HOSPITAL DR, GLEN BURNIE, MD 21061-5884
(410) 768-5555
(410) 799-1441
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912851400
—
MD
Enumeration date
03/05/2009
Last updated
08/17/2010
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