Organization
CHESAPEAKE ANESTHESIA ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JITTIKOM JANTARASAMI MD (CHAIRMAN)
(410) 535-8295
Entity
Organization
Contact information
Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678
(410) 535-8295
(410) 414-4788
Mailing address
PO BOX 630898, BALTIMORE, MD 21263-0898
(800) 426-1670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
09/11/2025
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