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Individual

DR. LISA GESUALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
900 CATON AVE, BALTIMORE, MD 21229-5201
(410) 368-2011
Mailing address
1049 IRWINS CHOICE, BEL AIR, MD 21014-2507
(410) 420-1890

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D56228
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147600900
MD
01
60609101
BLUE CROSS
MD
Enumeration date
06/01/2006
Last updated
08/06/2015
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