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PETER JAMES CUESTA DPM

Foot Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1649242496

Individual Registrant:
 PETER JAMES CUESTA DPM
Gender: M
Not Sole Proprietor

Location and contact information for practice:
11021 NICHOLAS LN SUITE 6 OCEAN PINES, MD 21811-3244 US
Tel: 410-208-4878  Fax: 410-208-4877

Contact information for business:
11021 NICHOLAS LN SUITE 6 OCEAN PINES, MD 21811-3244 US
Tel: 410-208-4878  Fax: 410-208-4877

Registration Information:
NPI: 1649242496
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213ES0131XPodiatric Medicine & Surgery Service Providers
Podiatrist
Foot Surgery
MD01351

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
4008677 00MD05




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