Organization
UPPER CHESAPEAKE CRITICAL CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS THOMAS AUGUSTUS PRIOLO (CFO)
(443) 643-3340
Entity
Organization
Contact information
Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-1000
Mailing address
520 UPPER CHESAPEAKE DR, SUITE 405, BEL AIR, MD 21014-4339
(443) 643-3347
(443) 643-3343
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
Other
Enumeration date
07/11/2007
Last updated
12/09/2021
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