Provider Demographics
NPI:1184697153
Name:HESTER, GLORIA E (MD)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:E
Last Name:HESTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3998 RED LION RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1440
Mailing Address - Country:US
Mailing Address - Phone:215-632-5437
Mailing Address - Fax:215-824-4114
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:SUITE 215
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1440
Practice Address - Country:US
Practice Address - Phone:215-632-5437
Practice Address - Fax:215-824-4114
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD035064L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics