Organization
CHESAPEAKE EAR, NOSE & THROAT, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D. WEISS M.D. (PRESIDENT)
(410) 356-2626
Entity
Organization
Contact information
Practice address
23 CROSSROADS DR, SUITE 400, OWINGS MILLS, MD 21117-5420
(410) 356-2626
Mailing address
23 CROSSROADS DR, SUITE 400, OWINGS MILLS, MD 21117-5420
(410) 356-2626
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429981700
—
MD
01
—
E400
FEP GRP #
MD
01
—
K291
BCBS GROUP NUMBER
MD
Enumeration date
05/08/2007
Last updated
07/28/2008
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