MEDICARE: DR. BRUCE DAVID CHESON MD

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	207RH0003X	Hematology & Oncology Physician	21035	DC
2	207RH0000X	Hematology (Internal Medicine) Physician	D0035917	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00894791	OTHER	DC	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1992703862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE DAVID CHESON MD

Provider Business Mailing Address
First Line	:	PO BOX 749488
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9488
Country	:	US
Telephone Number	:	239-432-8331
Fax Number	:	813-321-1296

Provider Business Practice Location Address
First Line	:	6410 ROCKLEDGE DR
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1809
Country	:	US
Telephone Number	:	301-571-0019
Fax Number	:	240-482-0555

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	01/03/2023

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Directions to “ DR. BRUCE DAVID CHESON MD” Practice Location

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