Individual
DR. THOMAS R PESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6808
(410) 296-4616
(410) 337-5068
Mailing address
1122 KENILWORTH DRIVE, SUITE 317, TOWSON, MD 21204
(410) 296-4616
(410) 337-5068
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0029558
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157851100
—
MD
01
—
D0029558
STATE LICENCE
MD
Enumeration date
08/15/2005
Last updated
08/01/2016
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