Individual
DR. IVARA ALISTAIR ESEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
4538 EDMONDSON AVE, BALTIMORE, MD 21229-1506
(410) 328-2273
(410) 328-1748
Mailing address
4538 EDMONDSON AVE, BALTIMORE, MD 21229-1506
(410) 328-2273
(410) 328-1748
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D46071
MD
Other
Enumeration date
06/06/2006
Last updated
06/02/2009
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