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NPI Code Detail

MEDICARE: PHILLIP J CATANZARO MD

MEDICARE: PHILLIP J CATANZARO MD
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
12085R0001XRadiation Oncology Physician35029874COH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2920005180OTHEROHMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174636732
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP J CATANZARO MD
Provider Business Mailing Address
First Line : 2865 E COAST HWY
Second Line : SUITE 210
City : CORONA DEL MAR
State : CA
Zip : 92625-2236
Country : US
Telephone Number : 949-207-3111
Fax Number :
Provider Business Practice Location Address
First Line : 5260 SMITH RD
Second Line :
City : BROOKPARK
State : OH
Zip : 44142-1747
Country : US
Telephone Number : 216-265-4580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 06/25/2014

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Directions to “ PHILLIP J CATANZARO MD” Practice Location

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