Individual
DR. SALLY B CHESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11065 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-2998
(410) 328-3037
(410) 328-3040
Mailing address
PO BOX 64620, BALTIMORE, MD 21264-4620
(410) 328-3037
(410) 328-3040
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D50225
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
793901900
—
MD
Enumeration date
07/27/2006
Last updated
04/29/2008
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