Organization
CHESAPEAKE UROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANFORD J SIEGEL M.D. (PRESIDENT)
(443) 738-2872
Entity
Organization
Contact information
Practice address
314 FRANKLIN AVE STE 302, BERLIN, MD 21811-1238
(410) 641-3735
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(443) 738-2872
(443) 738-2713
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
835003501
—
MD
05
—
835003506
—
MD
Enumeration date
01/15/2014
Last updated
09/17/2025
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