Organization
UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS THOMAS AUGUSTUS PRIOLO (AO)
(443) 643-3344
Entity
Organization
Contact information
Practice address
515 S TOLLGATE RD STE 200, BEL AIR, MD 21014-5234
(443) 643-3130
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5010
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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