Organization
CHESAPEAKE LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD J. SIEGEL M.D. (PRESIDENT)
(410) 581-1600
Entity
Organization
Contact information
Practice address
3455 WILKENS AVE, SUITE 205, BALTIMORE, MD 21229-5213
(410) 242-3762
(410) 242-3763
Mailing address
3455 WILKENS AVE, SUITE 205, BALTIMORE, MD 21229-5213
(410) 242-3762
(410) 242-3763
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MD
Other
Enumeration date
01/08/2007
Last updated
11/13/2007
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