Dr. Charita Lequisse Roque
Gynecologic Oncologist
4940 Eastern Ave
Baltimore
, Maryland 21224-2735
Dr. Charita Lequisse Roque
Gynecologic Oncologist
4940 Eastern Ave
Baltimore
, Maryland 21224-2735
(410) 933-6423
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Dr. Charita Lequisse Roque
- 6201 Greenleigh Ave
- Middle River, MD
- Zip : 21220-2004
- Phone : (410) 933-6423
Second Address
- Dr. Charita Lequisse Roque
- 4940 Eastern Ave
- Baltimore, MD
- Zip : 21224-2735
- Fax : (410) 550-0196
- Phone : (410) 550-0336
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | D89575 | MD |
National Provider Identifier
| NPI | 1487002002 |
|---|---|
| Provider Name | Dr. Charita Lequisse Roque |
| First Address | Middle River, MD 21220-2004 |
| Second Address | Baltimore, MD 21224-2735 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2016 |
| Last Update Date | 06/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.