THEODORE LESLIE DEWEESE

BALTIMORE, MD
NPI1528003373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: MD  D14152)
Additional Taxonomies2085R0001X 
(Licence: MD  D47485)
Enumeration Date2006-06-17
Last Update Date2014-01-17
Business Address
-- THEODORE LESLIE DEWEESE M.D.
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-8964
Mailing Address
-- THEODORE LESLIE DEWEESE M.D.
PO BOX 64474
BALTIMORE, MD 21264-4474
Phone number: 410-614-3979
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