Organization
UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN VINCENT WITMAN (SR VP & CFO)
(443) 643-3344
Entity
Organization
Contact information
Practice address
2012 S TOLLGATE RD STE 100, BEL AIR, MD 21015-5901
(410) 569-5155
Mailing address
520 UPPER CHESAPEAKE DR STE 405, BEL AIR, MD 21014-4381
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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