Individual
DR. KENNETH G CESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
290 ESSEX ST, BEVERLY, MA 01915-1944
(978) 927-0600
(978) 927-0600
Mailing address
290 ESSEX ST, BEVERLY, MA 01915-1944
(978) 927-0600
(978) 927-0600
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MA 1622
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0341401
—
MA
01
—
CEY70699
BCBS
—
Enumeration date
09/09/2005
Last updated
02/17/2014
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