# DR. CHARLES D CESARE SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063408409
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 9601 | MS | — |
| 207V00000X | Obstetrics & Gynecology Physician | E7806 | AR | Yes |

## Other

- **Enumeration date:** 09/21/2005
- **Last updated:** 12/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00114569 | — | MS |
| 01 | — | 111171001 | ARK MEDICAID | MS |
| 05 | — | 111171001 | — | AR |
| 01 | — | 81301 | ARK BCBS | MS |