Organization
UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS THOMAS AUGUSTUS PRIOLO (CFO)
(443) 643-3344
Entity
Organization
Contact information
Practice address
510 UPPER CHESAPEAKE DR STE 417, BEL AIR, MD 21014-4336
(443) 643-4438
Mailing address
PO BOX 744918, ATLANTA, GA 30374-4918
(410) 879-9013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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