Provider Demographics
NPI:1720331531
Name:CHESAPEAKE AED SERVICES
Entity Type:Organization
Organization Name:CHESAPEAKE AED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSIGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-238-2242
Mailing Address - Street 1:810 BACK RIVER NECK RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-1920
Mailing Address - Country:US
Mailing Address - Phone:410-238-2242
Mailing Address - Fax:410-238-7761
Practice Address - Street 1:810 BACK RIVER NECK RD
Practice Address - Street 2:SUITE D
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-1920
Practice Address - Country:US
Practice Address - Phone:410-238-2242
Practice Address - Fax:410-238-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies