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NPI Code Detail

MEDICARE: CHESAPEAKE UROLOGY ASSOCIATES P.A.

MEDICARE: CHESAPEAKE UROLOGY ASSOCIATES P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1346445434
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESAPEAKE UROLOGY ASSOCIATES P.A.
Provider Business Mailing Address
First Line : PO BOX 630664
Second Line :
City : BALTIMORE
State : MD
Zip : 21263-0664
Country : US
Telephone Number : 410-942-0130
Fax Number : 410-392-5938
Provider Business Practice Location Address
First Line : 805 S UNION AVE
Second Line :
City : HAVRE DE GRACE
State : MD
Zip : 21078-3610
Country : US
Telephone Number : 410-942-0130
Fax Number : 410-392-5938
Authorized Official
Title or Position : PRESIDENT
Name : SANFORD J SIEGEL
Credential : MD
Telephone Number : 410-581-1600
Provider Enumeration Date : 06/19/2007
Last Update Date : 06/18/2008

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Directions to “CHESAPEAKE UROLOGY ASSOCIATES P.A. ” Practice Location

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