NPI 1316262595

Affiliated Sante Group

Organisation Health Maintenance Organization Timonium, MD

Practice location

Address: 1205 York Rd Suite 29, Timonium, MD 21093-6210
Phone: (301) 572-6585
Mailing address: 12120 Plum Orchard Dr Suite E, Silver Spring, MD 20904-7820

Authorised official

Name: Frederick Chanteau
Title: Ceo
Phone: (301) 572-6585

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Maryland →

Registry record

NPI: 1316262595
Entity type: Organization
NPI issued: 31 Mar 2010
Record last updated: 31 Mar 2010

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.