Healthcare Provider Details

I. General information

NPI: 1235342163
Provider Name (Legal Business Name): CHESAPEAKE BAY ORTHOPEDICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 AIRPAX RD STE 700
CAMBRIDGE MD
21613-6401
US

IV. Provider business mailing address

828 AIRPAX RD STE 700
CAMBRIDGE MD
21613-6401
US

V. Phone/Fax

Practice location:
  • Phone: 410-901-8370
  • Fax: 410-901-8373
Mailing address:
  • Phone: 410-901-8370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL WARD
Title or Position: PRESIDENT
Credential:
Phone: 410-901-8370