Organization
CHESAPEAKE OPEN MRI L L C
Active
Other names
Chesapeake Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D. BAGANZ M.D. (PRESIDENT)
(410) 571-0350
Entity
Organization
Contact information
Practice address
600 RIDGELY AVE, SUITE 100, ANNAPOLIS, MD 21401-1001
(410) 266-9715
(410) 266-9717
Mailing address
122 DEFENSE HWY STE 102, ANNAPOLIS, MD 21401-7044
(410) 931-0400
(410) 931-1009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
09/09/2024
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