Dr. Kenneth G Cesa
Podiatrist
290 Essex St
Beverly
, Massachusetts 01915-1944
Dr. Kenneth G Cesa
Podiatrist
290 Essex St
Beverly
, Massachusetts 01915-1944
(978) 927-0600
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Kenneth G Cesa
- 290 Essex St
- Beverly, MA
- Zip : 01915-1944
- Fax : (978) 927-0600
- Phone : (978) 927-0600
Second Address
- Dr. Kenneth G Cesa
- 290 Essex St
- Beverly, MA
- Zip : 01915-1944
- Fax : (978) 927-0600
- Phone : (978) 927-0600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | MA 1622 | MA |
| Y | 222Z00000X | Podiatrist | MA 1622 | MA |
National Provider Identifier
| NPI | 1013901628 |
|---|---|
| Provider Name | Dr. Kenneth G Cesa |
| First Address | Beverly, MA 01915-1944 |
| Second Address | Beverly, MA 01915-1944 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/09/2005 |
| Last Update Date | 17/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0341401 | (05) | MA |
| CEY70699 | BCBS (01) | |
| T58727 | (02) |
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.