Upper Chesapeake Primary Care,llc

NPI #1386490613 in Forest Hill, Maryland

Provider Information

NPI Number: 1386490613
Entity Type: Organization
Organization Name: Upper Chesapeake Primary Care,llc
Primary Specialty: Internal Medicine
Enumeration Date: Apr 26, 2024
Last Updated: Apr 26, 2024

Practice Location

Address: 2 COLGATE DR STE 103
City: Forest Hill
State: Maryland
ZIP Code: 21050-2623
Phone: (410) 420-0161

Authorized Official

Name: MARCUS THOMAS AUGUSTUS PRIOLO
Title: CFO
Phone: (443) 643-3344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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