NPI 1003448606

Upper Chesapeake Surgical Associates, LLC

Organisation Surgical Physician Assistant Bel Air, MD

Practice location

Address: 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324
Phone: (443) 643-1199
Mailing address: 520 Upper Chesapeake Dr STE 405, Bel Air, MD 21014-4381

Authorised official

Name: Stephen Vincent Witman
Title: Cfo
Phone: (443) 643-3344

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

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Registry record

NPI: 1003448606
Entity type: Organization
NPI issued: 11 Feb 2020
Record last updated: 11 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.