Organization
CHESAPEAKE BAY SURGICAL ASSISTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS KALISCH SA-C (SURGICAL ASSISTANT)
(410) 868-1629
Entity
Organization
Contact information
Practice address
6814 CHAND CT, BALTIMORE, MD 21237-3869
(410) 868-1629
Mailing address
6814 CHAND CT, BALTIMORE, MD 21237-3869
(410) 868-1629
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16-375
—
MD
Enumeration date
09/15/2016
Last updated
09/15/2016
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