Organization
CHESAPEAKE UROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANFORD J. SIEGEL M.D. (PRESIDENT)
(443) 738-2872
Entity
Organization
Contact information
Practice address
3801 INTERNATIONAL DR, SUITE 310, SILVER SPRING, MD 20906-1550
(301) 598-9717
(301) 598-3230
Mailing address
10200 GRAND CENTRAL AVE STE 306, OWINGS MILLS, MD 21117-4165
(443) 738-2872
(443) 738-2713
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276600154
—
MD
Enumeration date
11/17/2011
Last updated
03/08/2025
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