Upper Chesapeake Health Ancillary Services | |
650 Mchenry Rd Ste 1300 Aberdeen MD 21001-2607 | |
(443) 843-6600 | |
Not Available |
Full Name | Upper Chesapeake Health Ancillary Services |
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Speciality | Internal Medicine |
Location | 650 Mchenry Rd Ste 1300, Aberdeen, Maryland |
Authorized Official Name and Position | Marcus Thomas Augustus Priolo (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 4436433344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Upper Chesapeake Health Ancillary Services 650 Mchenry Rd Ste 1300 Aberdeen MD 21001-2607 Ph: (443) 843-6600 | Upper Chesapeake Health Ancillary Services 650 Mchenry Rd Ste 1300 Aberdeen MD 21001-2607 Ph: (443) 843-6600 |
NPI Number | 1821711425 |
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Provider Enumeration Date | 09/20/2022 |
Last Update Date | 11/22/2023 |
Medicare PECOS PAC ID | 1850531351 |
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Medicare Enrollment ID | O20130705000158 |
Identifier | Type | State | Issuer |
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1821711425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208600000X | Surgery | (* (Not Available)) | Secondary |
Provider Name | Tonya L Appleby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689605222 PECOS PAC ID: 2163416884 Enrollment ID: I20040414000294 |
Provider Name | Loren A Elchik |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790326387 PECOS PAC ID: 3870927387 Enrollment ID: I20191216001902 |
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