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NPI Code Detail

MEDICARE: DR. JOSEPH COSIMO CANTERINO M.D.

MEDICARE:  DR. JOSEPH COSIMO CANTERINO  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
1207VM0101XMaternal & Fetal Medicine Physician25MA05917300NJ

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 : 1760471122
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH COSIMO CANTERINO M.D.
Provider Business Mailing Address
First Line : 19 DAVIS AVE FL 7
Second Line :
City : NEPTUNE
State : NJ
Zip : 07753-4488
Country : US
Telephone Number : 732-776-4755
Fax Number : 732-776-4754
Provider Business Practice Location Address
First Line : 19 DAVIS AVE FL 7
Second Line :
City : NEPTUNE
State : NJ
Zip : 07753-4488
Country : US
Telephone Number : 732-776-4755
Fax Number : 732-776-4754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 12/11/2018

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Directions to “ DR. JOSEPH COSIMO CANTERINO M.D.” Practice Location

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