Organization
CHESAPEAKE OPEN MRI L L C
Active
Other names
Chesapeake Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BAGANZ M.D. (OFFICER)
(410) 571-0350
Entity
Organization
Contact information
Practice address
4600 WILKENS AVE, SUITE 103, BALTIMORE, MD 21229-4843
(410) 242-8335
(410) 242-8339
Mailing address
122 DEFENSE HWY STE 102, ANNAPOLIS, MD 21401-7044
(410) 242-8339
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D44496
MD
Other
Enumeration date
02/17/2012
Last updated
09/09/2024
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