Individual
KESTER I.H. CROSSE II
Inactive
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10710 CHARTER DR, SUITE 110, COLUMBIA, MD 21044-3258
(410) 992-9797
(410) 730-0942
Mailing address
10710 CHARTER DR, SUITE 110, COLUMBIA, MD 21044-3258
(410) 992-9797
(410) 730-0942
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0059817
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403228400
—
MD
Enumeration date
07/21/2005
Last updated
11/09/2011
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