MEDICARE: DR. CYNTHIA G. CHROSNIAK 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	207Y00000X	Otolaryngology Physician	D51629	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0763-0005	OTHER	DC	BCBS DC
2	546886-03	OTHER	MD	BCBS MD
3	493371	OTHER		NCPPO
4	574524	OTHER		AETNA US HEALTHCARE
5	34864	OTHER	MD	KAISER PERMANENTE
6	06667	OTHER	MD	PREFERRED HEALTH NETWORK
7	350257	OTHER		UNITED/MAMSI/ALLLIANCE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	5619049-03	OTHER		CIGNA

General Provider Information

NPI Number	:	1346247616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA G. CHROSNIAK M.D.

Provider Business Mailing Address
First Line	:	18111 PRINCE PHILIP DR
Second Line	:	STE 224
City	:	OLNEY
State	:	MD
Zip	:	20832-1504
Country	:	US
Telephone Number	:	301-774-0074
Fax Number	:	301-774-0640

Provider Business Practice Location Address
First Line	:	18111 PRINCE PHILIP DR
Second Line	:	STE 224
City	:	OLNEY
State	:	MD
Zip	:	20832-1504
Country	:	US
Telephone Number	:	301-774-0074
Fax Number	:	301-774-0640

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	04/25/2014

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Directions to “ DR. CYNTHIA G. CHROSNIAK M.D.” Practice Location

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