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NPI Code Detail

MEDICARE: CATHERINE M COSENTINO MD

MEDICARE:   CATHERINE M COSENTINO  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
12086S0120XPediatric Surgery Physician20291AZ
2208600000XSurgery Physician20291AZ

General Provider Information

NPI Number : 1427037753
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE M COSENTINO MD
Provider Business Mailing Address
First Line : PO BOX 31235
Second Line :
City : TUCSON
State : AZ
Zip : 85751-1235
Country : US
Telephone Number : 520-324-2308
Fax Number : 520-324-1406
Provider Business Practice Location Address
First Line : 5166 E GLENN ST
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1337
Country : US
Telephone Number : 520-795-5338
Fax Number : 520-795-5382
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 08/18/2021

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Directions to “ CATHERINE M COSENTINO MD” Practice Location

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