Provider Demographics
NPI:1346226818
Name:CUMISKEY, ANDREW MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:MICHAEL
Last Name:CUMISKEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:818 HIGH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-1152
Mailing Address - Country:US
Mailing Address - Phone:410-778-9094
Mailing Address - Fax:410-778-9106
Practice Address - Street 1:818 HIGH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1152
Practice Address - Country:US
Practice Address - Phone:410-778-9094
Practice Address - Fax:410-778-9106
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2021-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0064287207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
000OTHMedicare UPIN