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NPI Code Detail

MEDICARE: CHESAPEAKE UROLOGY ASSOCIATES, LLC

MEDICARE: CHESAPEAKE UROLOGY ASSOCIATES, LLC
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
1207RH0003XHematology & Oncology Physician

General Provider Information

NPI Number : 1568347532
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHESAPEAKE UROLOGY ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 10200 GRAND CENTRAL AVE STE 220
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4366
Country : US
Telephone Number : 443-471-5783
Fax Number :
Provider Business Practice Location Address
First Line : 5450 KNOLL NORTH DR STE 140
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2366
Country : US
Telephone Number : 410-834-0987
Fax Number : 410-740-1743
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : DR. SANFORD JAY SIEGEL
Credential : MD
Telephone Number : 410-581-1600
Provider Enumeration Date : 08/08/2025
Last Update Date : 08/08/2025

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Directions to “CHESAPEAKE UROLOGY ASSOCIATES, LLC ” Practice Location

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