Organization
CHESAPEAKE OPEN MRI LLC
Active
Other names
Chesapeake Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D. BAGANZ M.D. (PRESIDENT)
(410) 571-0350
Entity
Organization
Contact information
Practice address
5961 EXCHANGE DR, LEVEL 1, ELDERSBURG, MD 21784-9253
(410) 644-1880
(410) 300-3160
Mailing address
PO BOX 824106, PHILADELPHIA, PA 19182-4106
(410) 931-0400
(410) 931-1009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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