Healthcare Provider Details
I. General information
NPI: 1134595812
Provider Name (Legal Business Name): CHESAPEAKE MEDICAL SOLUTIONS, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2015
Last Update Date: 06/02/2020
Certification Date: 06/02/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2425 N SALISBURY BLVD
SALISBURY MD
21801-2138
US
IV. Provider business mailing address
2425 N SALISBURY BLVD
SALISBURY MD
21801-2138
US
V. Phone/Fax
- Phone: 410-334-6351
- Fax: 410-334-6352
- Phone: 410-334-6351
- Fax: 410-334-6352
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANGELA
GIANELLE
Title or Position: CFO
Credential:
Phone: 410-334-6351