MEDICARE: DR. WILEY ANDREW CHAMBERS II M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD14764	DC

General Provider Information

NPI Number	:	1770591711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILEY ANDREW CHAMBERS II M.D.

Provider Business Mailing Address
First Line	:	2536 QUEEN ANNES LN NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20037-2148
Country	:	US
Telephone Number	:	202-338-7518
Fax Number	:	703-917-4041

Provider Business Practice Location Address
First Line	:	2536 QUEEN ANNES LN NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20037-2148
Country	:	US
Telephone Number	:	202-338-7518
Fax Number	:	703-917-4041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

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