Organization
CHESAPEAKE OPEN MRI LLC
Active
Other names
Chesapeake Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DOUGLAS BAGANZ M.D. (OFFICER)
(410) 571-0350
Entity
Organization
Contact information
Practice address
10710 CHARTER DR, SUITE 300, COLUMBIA, MD 21044-3128
(410) 644-1880
Mailing address
10710 CHARTER DR, SUITE 300, COLUMBIA, MD 21044-3128
(410) 644-1880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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