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Organization

CHESAPEAKE VEIN CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN PIETROPAOLI (PHYSICIAN)
(410) 595-2811
Entity
Organization

Contact information

Practice address
301 STEEPLE CHASE DR STE 404, PRINCE FREDERICK, MD 20678-4051
(410) 535-1865
(410) 535-9248
Mailing address
301 STEEPLE CHASE DR STE 404, PRINCE FREDERICK, MD 20678-4051
(410) 535-1865
(410) 535-9248

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D0045757
MD

Other

Enumeration date
09/25/2006
Last updated
10/18/2007
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