Chesapeake Urology Associates, LLC
Urology in Brandywine, MD. Organization (NPI-2).
NPI number1679398366
StatusActive
Last updated in NPPESMar 8, 2025
Details
- NPI
- 1679398366
- Entity type
- Organization (NPI-2)
- Legal business name
- Chesapeake Urology Associates, LLC
- Organization subpart
- No
- Enumeration date
- Nov 19, 2024
- Certification date
- Mar 8, 2025
- Last updated
- Mar 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Practice location
7704 Matapeake Business Dr Ste 310Brandywine, MD 20613-3046
Phone 301-868-0202
Mailing address
10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366
Phone 443-471-5839
Authorized official
Sanford Jay Siegel
President
4105811600
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