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Individual

DR. ANDREA JENNIFER CHAMCZUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12502 WILLOWBROOK RD, CUMBERLAND, MD 21502-6491
(240) 964-8944
(240) 964-8942
Mailing address
12502 WILLOWBROOK RD, CUMBERLAND, MD 21502-6491
(240) 964-8944
(240) 964-8942

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
28190
NE
207T00000X
Neurological Surgery Physician
Primary
35.141789
OH
207T00000X
Neurological Surgery Physician
82475
SC
207T00000X
Neurological Surgery Physician
Primary
D0102864
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01425552
MS
05
137129
AL
01
P01212534
RAILROAD MEDICARE
MS
Enumeration date
10/25/2011
Last updated
05/11/2026
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