Provider Demographics
NPI:1164466892
Name:MESIA, CESAR IGOR (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:IGOR
Last Name:MESIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 DEEP HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-1729
Mailing Address - Country:US
Mailing Address - Phone:610-827-1071
Mailing Address - Fax:
Practice Address - Street 1:ERIE AVE AT FRONT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134
Practice Address - Country:US
Practice Address - Phone:215-827-4821
Practice Address - Fax:215-827-4822
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4253622080P0202X
CT673072080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011370300001Medicaid
085520Medicare ID - Type Unspecified
H27507Medicare UPIN