MEDICARE: CHESAPEAKE SURGICAL ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1528395159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHESAPEAKE SURGICAL ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	PO BOX 64421
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-4421
Country	:	US
Telephone Number	:	443-481-6476
Fax Number	:	443-481-6515

Provider Business Practice Location Address
First Line	:	2009 TIDEWATER COLONY WAY
Second Line	:	#2A
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-2107
Country	:	US
Telephone Number	:	410-571-9499
Fax Number	:	410-571-6486

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	GINA MASSOGLIA
Credential	:	MD
Telephone Number	:	443-481-6476

Provider Enumeration Date	:	11/03/2009
Last Update Date	:	12/20/2011

Similar Medicare Providers

1881687762 — RODELL E CRUISE JR. M.D.
Practice Location Address:

2009 TIDEWATER COLONY DR , SUITE 1A
ANNAPOLIS, MD
21401-2107

Practice Phone: 410-224-0010
Practice Fax: 410-224-0012

1699921601 — CARA BERGMAN L.AC., M.AC.
Practice Location Address:

2009 TIDEWATER COLONY WAY , SUITE B2
ANNAPOLIS, MD
21401-2107

Practice Phone: 410-271-3935
Practice Fax:

1356607428 — ELYSE PROVENCHER LLC
Practice Location Address:

2009 TIDEWATER COLONY DR , SUITE B2
ANNAPOLIS, MD
21401-2107

Practice Phone: 410-573-1938
Practice Fax:

1669118410 — CHRISTA WELCH BELLANCA LCSW-C
Practice Location Address:

2009 TIDEWATER COLONY DR STE B
ANNAPOLIS, MD
21401-2107

Practice Phone: 301-615-1117
Practice Fax:

1528929072 — BLUZONE
Practice Location Address:

133 DEFENSE HWY STE 110
ANNAPOLIS, MD
21401-7015

Practice Phone: 443-524-3880
Practice Fax:

1780526368 — DR. SHEREE DANIELLE CARTER MD
Practice Location Address:

2001 MEDICAL PKWY
ANNAPOLIS, MD
21401-3773

Practice Phone: 443-481-4142
Practice Fax: 443-924-2727

Directions to “CHESAPEAKE SURGICAL ASSOCIATES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.