Provider Demographics
NPI:1255301339
Name:CHUMA, ANDREW V (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:V
Last Name:CHUMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:460 CREAMERY WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2533
Mailing Address - Country:US
Mailing Address - Phone:610-384-8300
Mailing Address - Fax:610-384-8885
Practice Address - Street 1:460 CREAMERY WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2533
Practice Address - Country:US
Practice Address - Phone:610-384-8300
Practice Address - Fax:610-384-8885
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD064172L207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0001697042003Medicaid
PA0001697042003Medicaid
PA005627EVPMedicare ID - Type Unspecified