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NPI Code Detail

MEDICARE: ANNE E COSGROVE MD

MEDICARE:   ANNE E COSGROVE  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
1208000000XPediatrics PhysicianMD00036407WA

General Provider Information

NPI Number : 1598774879
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE E COSGROVE MD
Provider Business Mailing Address
First Line : 1019 PACIFIC AVE
Second Line : 300
City : TACOMA
State : WA
Zip : 98402-4443
Country : US
Telephone Number : 253-722-1540
Fax Number : 253-722-1546
Provider Business Practice Location Address
First Line : 1708 E 44TH ST
Second Line :
City : TACOMA
State : WA
Zip : 98404-4611
Country : US
Telephone Number : 253-471-4553
Fax Number : 253-474-5395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 08/29/2013

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Directions to “ ANNE E COSGROVE MD” Practice Location

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