MEDICARE: DR. JOSEPH CHESTON WUAMETT 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	2086S0129X	Vascular Surgery Physician	0101256362	VA

General Provider Information

NPI Number	:	1205065711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH CHESTON WUAMETT M.D.

Provider Business Mailing Address
First Line	:	100 HOSPITAL RD
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-4017
Country	:	US
Telephone Number	:	410-414-2790
Fax Number	:	443-771-8113

Provider Business Practice Location Address
First Line	:	110 HOSPITAL RD STE 213
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-4040
Country	:	US
Telephone Number	:	410-414-2790
Fax Number	:	410-414-2791

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

Provider Enumeration Date	:	07/06/2009
Last Update Date	:	01/16/2024

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