Healthcare Provider Details

I. General information

NPI: 1285681205
Provider Name (Legal Business Name): CHROSNIAK ,SCHWARTZBAUER & MEHTA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 07/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18111 PRINCE PHILIP DR SUITE 224
OLNEY MD
20832-1513
US

IV. Provider business mailing address

18111 PRINCE PHILIP DR SUITE 224
OLNEY MD
20832-1513
US

V. Phone/Fax

Practice location:
  • Phone: 301-774-0074
  • Fax: 301-774-0640
Mailing address:
  • Phone: 301-774-0074
  • Fax: 301-774-0640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAMELA L MASON
Title or Position: OFFICE MANAGER
Credential:
Phone: 301-774-0074