Upper Chesapeake Orthopedics, LLC
Organization Active NPI Orthopaedic Surgery Physician · Havre de Garce, MD
NPI 1073369302 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1073369302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- UPPER CHESAPEAKE ORTHOPEDICS, LLC
- Practice address
- 2027 Pulaski Highway
Suite 101
Havre de Garce, MD 21078-2146 - Phone
- (443) 843-5557
- NPI assigned
- Apr 26, 2024
- Organization subpart
- No
Authorized official
- Name
- Marcus Thomas Augustus Priolo
- Title
- Cfo
- Phone
- (443) 643-3344
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Upper Chesapeake Orthopedics LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
2027 Pulaski Highway
Suite 101
Havre de Garce, MD 21078-2146
Mailing address
900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.