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Organization

CHESAPEAKE UROLOGY ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANFORD JAY SIEGEL MD (PRESIDENT)
(410) 581-1600
Entity
Organization

Contact information

Practice address
12200 KILN CT STE A, BELTSVILLE, MD 20705-1324
(443) 471-5852
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(443) 471-5839

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
11/22/2024
Last updated
03/08/2025
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