MEDICARE: DR. MARLENE A. CATANESE 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
1	207P00000X	Emergency Medicine Physician	19348	TN
2	207Q00000X	Family Medicine Physician	MD019348	TN

General Provider Information

NPI Number	:	1548202815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARLENE A. CATANESE MD

Provider Business Mailing Address
First Line	:	PO BOX 308
Second Line	:
City	:	BENTON
State	:	TN
Zip	:	37307-0308
Country	:	US
Telephone Number	:	423-338-8995
Fax Number	:	423-338-8996

Provider Business Practice Location Address
First Line	:	1420 FRITZ STREET
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37323-1420
Country	:	US
Telephone Number	:	423-338-8995
Fax Number	:	423-338-8996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	09/15/2010

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