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Organization

CHESAPEAKE EYE CARE & LASER CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CREDENTIALING SPECIALIST (CREDENTIALING SPECIALIST)
(410) 571-8733
Entity
Organization

Contact information

Practice address
2002 MEDICAL PKWY STE 320, ANNAPOLIS, MD 21401-7901
(410) 571-8733
Mailing address
2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
(667) 354-5528

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
12/10/2024
Last updated
11/13/2025
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