Upper Chesapeake Critical Care Associates, LLC
Internal Medicine, Critical Care Medicine in Bel Air, MD. Organization (NPI-2).
NPI number1124874441
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1124874441
- Entity type
- Organization (NPI-2)
- Legal business name
- Upper Chesapeake Critical Care Associates, 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 |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | – | – | Yes |
Practice location
227 Gateway Dr Ste JBel Air, MD 21014-4287
Phone 410-638-7544
Mailing address
900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Authorized official
Marcus Thomas Augustus Priolo
Cfo
4436433344
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