Individual
ALICE ESAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
504 E RIDGEVILLE BLVD STE 120, MOUNT AIRY, MD 21771-5942
(240) 215-6370
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(704) 304-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210031
NC
Other
Enumeration date
04/06/2015
Last updated
10/06/2025
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