| Modesta Vesonder Crnp LLC | |
|
7301 E Furnace Branch Rd Glen Burnie MD 21060-7059 | |
| (443) 548-1708 | |
| Not Available |
| Full Name | Modesta Vesonder Crnp LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 7301 E Furnace Branch Rd, Glen Burnie, Maryland |
| Authorized Official Name and Position | Modesta Vesonder (CEO) |
| Authorized Official Contact | 3018751670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modesta Vesonder Crnp LLC 7301 E Furnace Branch Rd Glen Burnie MD 21060-7059 | Modesta Vesonder Crnp LLC 7301 E Furnace Branch Rd Glen Burnie MD 21060-7059 Ph: (443) 548-1708 |
| NPI Number | 1124982798 |
|---|---|
| Provider Enumeration Date | 12/09/2025 |
| Last Update Date | 07/14/2026 |
| Certification Date | 07/14/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124982798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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