Healthcare Provider Details

I. General information

NPI: 1932369873
Provider Name (Legal Business Name): CHRISTINE M HESKE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 07/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DRIVE - CRC BUILDING 10 - 1W-3816
BETHESDA MD
20892
US

IV. Provider business mailing address

593 EDDY ST
PROVIDENCE RI
02903-4923
US

V. Phone/Fax

Practice location:
  • Phone: 301-451-7016
  • Fax: 301-451-7010
Mailing address:
  • Phone: 401-444-8450
  • Fax: 401-444-5088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberD0071605
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: