Edford Olaf Chambers III, M.D.
Individual provider Active NPI Otolaryngology Physician · Leonardtown, MD
NPI 1730286147 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730286147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- D0044310 (MD)
- Practice address
- 22650 Cedar Lane CT
Leonardtown, MD 20650-1630 - Phone
- (301) 475-1692
- Fax
- (301) 997-0912
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0044310 | MD | MD | Otolaryngology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D0044310 | MD | Yes |
Addresses
Primary practice location
22650 Cedar Lane CT
Leonardtown, MD 20650-1630
Mailing address
PO Box 1630
Leonardtown, MD 20650-1630
Phone (301) 475-1692
Other providers in Leonardtown, MD
- Center for Children, Inc
- Center for Children, Inc.
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Jamilla K. Chase
- Kenneth Bernard Chase
- Marisa Checca
- Frank Sungping Chen
- Ryan Cheoun
All providers in Leonardtown, MD · Otolaryngology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.