| Upper Chesapeake Primary Care,llc | |
|
1321 Woodbridge Station Way Edgewood MD 21040-3830 | |
| (443) 643-2273 | |
| Not Available |
| Full Name | Upper Chesapeake Primary Care,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1321 Woodbridge Station Way, Edgewood, Maryland |
| Authorized Official Name and Position | Marcus Thomas Augustus Priolo (CFO) |
| Authorized Official Contact | 4436433344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper Chesapeake Primary Care,llc 900 Elkridge Landing Rd Fl 2 Linthicum MD 21090-2924 Ph: () - | Upper Chesapeake Primary Care,llc 1321 Woodbridge Station Way Edgewood MD 21040-3830 Ph: (443) 643-2273 |
| NPI Number | 1629824958 |
|---|---|
| Provider Enumeration Date | 04/26/2024 |
| Last Update Date | 04/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629824958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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