Healthcare Provider Details

I. General information

NPI: 1982734976
Provider Name (Legal Business Name): CHESAPEAKE UROLOGY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 EXPEDITION TRAIL SUITE 101
GETTYSBURG PA
17325
US

IV. Provider business mailing address

10200 GRAND CENTRAL AVE STE 220
OWINGS MILLS MD
21117-4366
US

V. Phone/Fax

Practice location:
  • Phone: 717-334-4033
  • Fax: 717-334-5599
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: GEOFFREY SKLAR
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 443-471-5783