Upper Chesapeake Primary Care,llc

NPI #1629824958 in Edgewood, Maryland

Provider Information

NPI Number: 1629824958
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: 1321 WOODBRIDGE STATION WAY
City: Edgewood
State: Maryland
ZIP Code: 21040-3830
Phone: (443) 643-2273

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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