# CHESAPEAKE ORTHOPAEDIC & SPORTS MEDICINE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHESAPEAKE ORTHOPAEDIC & SPORTS MEDICINE CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598905333
- **Legal business name:** CHESAPEAKE ORTHOPAEDIC & SPORTS MEDICINE CENTER
- **Authorized official:** MS. SHERRIE HARE (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (410) 768-5555

## Contact information

- **Practice address:** 7556 TEAGUE RD, SUITE 240, HANOVER, MD 21076
- **Practice address phone:** (410) 768-5555
- **Practice address fax:** (410) 799-1441
- **Mailing address:** 200 HOSPITAL DR, GLEN BURNIE, MD 21061-5884
- **Mailing address phone:** (410) 768-5555
- **Mailing address fax:** (410) 799-1441

## Taxonomy

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

## Other

- **Enumeration date:** 03/05/2009
- **Last updated:** 08/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 912851400 | — | MD |