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Organization

GREATER CHESAPEAKE HAND SPECIALISTS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARA LYN HOLICKY MBA (ADMINISTRATOR)
(410) 296-6239
Entity
Organization

Contact information

Practice address
1400 FRONT AVE, SUITE 100, LUTHERVILLE, MD 21093-5300
(410) 296-6232
Mailing address
1400 FRONT AVE, SUITE 100, LUTHERVILLE, MD 21093-5300
(410) 296-6232

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician

Other

Enumeration date
06/22/2006
Last updated
09/12/2023
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