Dr. Charita Lequisse Roque, M.D., M.P.H.
Obstetrics & Gynecology, Gynecologic Oncology in Baltimore, MD. Individual provider (NPI-1).
NPI number1487002002
StatusActive
Last updated in NPPESSep 13, 2022
Details
- NPI
- 1487002002
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charita Lequisse Roque
- Credential
- M.D., M.P.H.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2016
- Certification date
- Sep 13, 2022
- Last updated
- Sep 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | D89575 | MD | Yes |
Practice location
4940 Eastern AveBaltimore, MD 21224-2735
Phone 410-550-0336 · Fax 410-550-0196
Mailing address
6201 Greenleigh AveMiddle River, MD 21220-2004
Phone 410-933-6423
Other practice locations
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Cleveland, OH 44109-1900
Phone 216-778-7800
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