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Organization

UPPER CHESAPEAKE SURGICAL 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
515 S TOLLGATE RD STE 200, BEL AIR, MD 21014-5282
(443) 643-3130
(443) 643-3133
Mailing address
421 S UNION AVE STE 201, HAVRE DE GRACE, MD 21078-3346
(443) 843-6363
(443) 843-6653

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0062522
MD
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
09/20/2006
Last updated
09/24/2025
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