Healthcare Provider Details
I. General information
NPI: 1346941010
Provider Name (Legal Business Name): ADFINITAS HEALTH AT UPPER CHESAPEAKE ABERDEEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
660 MCHENRY RD
ABERDEEN MD
21001
US
IV. Provider business mailing address
PO BOX 69231
BALTIMORE MD
21264-9231
US
V. Phone/Fax
- Phone: 443-643-1000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIM
DELBRUGGE
Title or Position: VP & CFO
Credential:
Phone: 443-949-0814