Provider Demographics
NPI:1811446347
Name:CHEUNG, ANDREA WING-YUN
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:WING-YUN
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 CLAUSEN LN
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-3010
Mailing Address - Country:US
Mailing Address - Phone:301-675-9743
Mailing Address - Fax:
Practice Address - Street 1:6675 MARIE CURIE DR
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6457
Practice Address - Country:US
Practice Address - Phone:410-423-4059
Practice Address - Fax:410-423-4056
Is Sole Proprietor?:No
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist