Organization
ANNAPOLIS ENT SURGICAL CENTER LLC
Active
Other names
Chesapeake Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BEZEK (CREDENTIALING COORDINATOR)
(410) 266-6267
Entity
Organization
Contact information
Practice address
166 DEFENSE HWY STE L101, ANNAPOLIS, MD 21401-8925
(410) 224-0350
Mailing address
166 DEFENSE HWY STE L101, ANNAPOLIS, MD 21401-8925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
08/01/2024
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