Upper Chesapeake Primary Care,llc
Internal Medicine in Bel Air, MD. Organization (NPI-2).
NPI number1013763341
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1013763341
- Entity type
- Organization (NPI-2)
- Legal business name
- Upper Chesapeake Primary Care,llc
- Organization subpart
- No
- Enumeration date
- Apr 26, 2024
- Certification date
- Apr 26, 2024
- Last updated
- Apr 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
520 Upper Chesapeake Dr Ste 308Bel Air, MD 21014-4375
Phone 443-643-4800
Mailing address
900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Authorized official
Marcus Thomas Augustus Priolo
Cfo
4436433344
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