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NPI Code Detail

MEDICARE: DR. ABIGAIL CATHERINE MANCUSO M.D.

MEDICARE: DR. ABIGAIL CATHERINE MANCUSO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMD-44300IA
2207VE0102XReproductive Endocrinology PhysicianMD-44300IA

General Provider Information

NPI Number : 1376980524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABIGAIL CATHERINE MANCUSO M.D.
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-384-9518
Fax Number : 319-356-1277
Provider Business Practice Location Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-384-9518
Fax Number : 319-356-1277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2013
Last Update Date : 12/16/2025

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