Healthcare Provider Details
I. General information
NPI: 1538380563
Provider Name (Legal Business Name): CHESAPEAKE WOMEN'S CARE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2003 MEDICAL PKWY SUITE 370
ANNAPOLIS MD
21401-7992
US
IV. Provider business mailing address
2003 MEDICAL PKWY SUITE 370
ANNAPOLIS MD
21401-7992
US
V. Phone/Fax
- Phone: 410-571-9700
- Fax: 410-571-9710
- Phone: 410-571-9700
- Fax: 410-571-9710
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ROBIN
M
BEMBE
Title or Position: OFFICE MANAGER
Credential:
Phone: 410-571-9700