Healthcare Provider Details

I. General information

NPI: 1982529129
Provider Name (Legal Business Name): UPPER CHESAPEAKE ORTHOPEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 PULASKI HWY STE N
PERRYVILLE MD
21903-2653
US

IV. Provider business mailing address

5301 PULASKI HWY STE N
PERRYVILLE MD
21903-2653
US

V. Phone/Fax

Practice location:
  • Phone: 410-398-3950
  • Fax: 667-737-8801
Mailing address:
  • Phone: 410-398-3950
  • Fax: 667-737-8801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MARCUS THOMAS AUGUSTUS PRIOLO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 443-643-3344