Provider Demographics
NPI:1962404152
Name:CUKIER, ANDREW ROBERT (M D)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ROBERT
Last Name:CUKIER
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:11110 MEDICAL CAMPUS RD
Mailing Address - Street 2:STE 126
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6799
Mailing Address - Country:US
Mailing Address - Phone:301-714-4375
Mailing Address - Fax:301-714-4365
Practice Address - Street 1:11110 MEDICAL CAMPUS RD
Practice Address - Street 2:STE 126
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6799
Practice Address - Country:US
Practice Address - Phone:301-714-4375
Practice Address - Fax:301-714-4365
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0051704207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0002 H883OtherCAREFIRST REGIONAL NTWRK
MD54567102 GP S186OtherCAREFIRST BS INDV & GP
PA895471 GRP 593934OtherPA BS PA LOCATION
MD954364 GRP 59855OtherPA BS MD LOCATION
MD212979 GP 218761OtherMAMSI
MD699902600 793251101Medicaid
MD02186101 GP 02426700OtherCAPITAL BLUE CROSS
PA895471 GRP 593934OtherPA BS PA LOCATION
MD699902600 793251101Medicaid