# UPPER CHESAPEAKE ORTHOPEDICS, LLC

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

## Provider details

- **NPI number:** 1962258293
- **Authorized official:** MARCUS THOMAS AUGUSTUS PRIOLO (CFO)
- **Authorized official phone:** (443) 643-3344

## Contact information

- **Practice address:** 501 S UNION AVE, HAVRE DE GRACE, MD 21078-3409
- **Practice address phone:** (443) 643-1500
- **Mailing address:** 900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2024
- **Last updated:** 04/26/2024