Organization Name: | PETER J CUESTA, DPM, PA |
NPI Number: | 1124346044 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER J CUESTA (PRESIDENT) |
Mailing Address: | 11021 Nicholas Ln Suite 6 Ocean Pines |
State: | MD US |
Postal Code: | 218113243 |
Phone Number: | 4102084878 |
Fax Number: | 4102084877 |
NPI Enumeration Date: | 05/17/2010 |
NPI Last Update Date: | 05/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |