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Organization

PETER J CUESTA, DPM, PA

Active
Parent organization
PETER J CUESTA, DPM, PA
Other names
Eastern Shore Podiatry
Organization subpart
Yes

Provider details

NPI number
Legal business name
PETER J CUESTA, DPM, PA
Authorized official
PETER J CUESTA DPM (PRESIDENT)
(410) 208-4878
Entity
Organization

Contact information

Practice address
11021 NICHOLAS LN, SUITE 6, OCEAN PINES, MD 21811-3243
(410) 208-4878
(410) 208-4877
Mailing address
11021 NICHOLAS LN, SUITE 6, OCEAN PINES, MD 21811-3243
(410) 208-4878
(410) 208-4877

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400867700
MD
Enumeration date
05/17/2010
Last updated
05/17/2010
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