Provider Demographics
NPI:1770104887
Name:CESAR, LIA NADINE (MD)
Entity type:Individual
Prefix:DR
First Name:LIA
Middle Name:NADINE
Last Name:CESAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E MAIN ST STE 212
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2937
Mailing Address - Country:US
Mailing Address - Phone:203-481-5665
Mailing Address - Fax:
Practice Address - Street 1:500 E MAIN ST STE 212
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2937
Practice Address - Country:US
Practice Address - Phone:203-481-5665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT75479207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine