Organization
CHESAPEAKE NEUROSURGERY, LLC
Active
Organization
CHESAPEAKE NEUROSURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA M CLARK (OFFICE MANAGER)
(410) 486-0090
Entity
Organization
Contact information
Practice address
2700 QUARRY LAKE DRIVE, SUITE 360, BALTIMORE, MD 21209
(410) 486-0090
(410) 486-0093
Mailing address
2700 QUARRY LAKE DRIVE, SUITE 360, BALTIMORE, MD 21209
(410) 486-0090
(410) 486-0093
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0047743
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407922100
—
MD
Enumeration date
08/30/2006
Last updated
02/16/2011
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