Chesapeake Endocrinology, Llc | |
2191 Defense Hwy Ste 308 Crofton MD 21114-2941 | |
(410) 216-4445 | |
Not Available |
Full Name | Chesapeake Endocrinology, Llc |
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Speciality | Internal Medicine |
Location | 2191 Defense Hwy Ste 308, Crofton, Maryland |
Authorized Official Name and Position | Onala Telford (OWNER) |
Authorized Official Contact | 4342492504 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chesapeake Endocrinology, Llc 2191 Defense Hwy Ste 308 Crofton MD 21114-2941 Ph: (434) 249-2504 | Chesapeake Endocrinology, Llc 2191 Defense Hwy Ste 308 Crofton MD 21114-2941 Ph: (410) 216-4445 |
NPI Number | 1285375931 |
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Provider Enumeration Date | 04/06/2022 |
Last Update Date | 07/25/2022 |
Medicare PECOS PAC ID | 7416336276 |
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Medicare Enrollment ID | O20220624001032 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285375931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Jo Ellen Condon |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1538216932 PECOS PAC ID: 6800057951 Enrollment ID: I20120417000262 |
Provider Name | Virginia Kay Mirenzi |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1568937191 PECOS PAC ID: 9335492636 Enrollment ID: I20181211001195 |
Provider Name | Onala T Telford |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1497989685 PECOS PAC ID: 3274785894 Enrollment ID: I20200128002782 |
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