Provider Demographics
NPI:1821006024
Name:CHESLEY, JAMES S JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:CHESLEY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:7700 OLD BRANCH AVE
Mailing Address - Street 2:SUITE B101
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1628
Mailing Address - Country:US
Mailing Address - Phone:301-868-9510
Mailing Address - Fax:301-868-0871
Practice Address - Street 1:7700 OLD BRANCH AVE
Practice Address - Street 2:SUITE B101
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1628
Practice Address - Country:US
Practice Address - Phone:301-868-9510
Practice Address - Fax:301-868-0871
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2014-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD26351207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD100015973OtherRAILROAD MEDICARE PTAN
MD45105OtherMAMSI
DC5853OtherCAREFIRST OF DC
MD124828OtherAETNA HMO
MD2514OtherCAREFIRST OF MARYLAND
MD4091719OtherAETNA PPO
MD409541300Medicaid
019876OtherMEDICARE PTAN
MDB92764Medicare UPIN
MD4091719OtherAETNA PPO