Organization · Type 2 NPI

Annapolis Ent Surgical Center LLC

Specialist · Columbia, MD

NPI number 1104655794 Active

Practice location

10400 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3526

Call (410) 356-2626 Map

Fax (410) 356-7806

Mailing address

2002 Medical Pkwy Ste 230
Annapolis, MD 21401-3282

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3 other providers at this address

Other specialist providers in Columbia

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NPI record

NPI: 1104655794
Entity type: Organization (Type 2)
Issued: Jul 31, 2024
Last updated: May 5, 2026
Status: Active

Other names

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Chesapeake Specialty Care · doing business as
Chesapeake Specialty Care · doing business as

Authorized official

Erin Bezek
Executive Administrative Assistant
(410) 266-3900

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104655794

Annapolis Ent Surgical Center LLC's National Provider Identifier is 1104655794, issued on Jul 31, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Columbia, MD. The record was last updated on May 5, 2026.