Organization
CHESAPEAKE CARDIO-THORACIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FIOCCO MD (TREASURER)
(410) 554-6550
Entity
Organization
Contact information
Practice address
3333 N CALVERT STREET, SUITE LL08, BALTIMORE, MD 21218-2895
(410) 554-6550
(410) 554-6534
Mailing address
201 E UNIVERSITY PARKWAY, JPB SUITE LL08, BALTIMORE, MD 21218-2895
(410) 554-6550
(410) 554-6534
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020202900
—
MD
01
—
1403431
BCBS OF PA
—
01
—
180072
COVENTRY HEALTHCARE
—
01
—
227538
KAISER PERMANENTE
—
01
—
362173
ALLIANCE PPO
—
01
—
LT13MI
BCBS
MD
01
—
T035
BCBS FEP
MD
Enumeration date
06/18/2006
Last updated
03/08/2021
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