Organization
CHESAPEAKE UROLOGY ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD J SIEGEL MD (PRESIDENT/CEO)
(410) 581-1600
Entity
Organization
Contact information
Practice address
5051 GREENSPRING AVE, SUITE 302, BALTIMORE, MD 21209-4355
(410) 542-4700
(410) 542-4702
Mailing address
PO BOX 630664, BALTIMORE, MD 21263-0664
(410) 542-4700
(410) 542-4702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
06/18/2008
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