MEDICARE: CYNTHIA J ANNESKI MD PC

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	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1780795336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYNTHIA J ANNESKI MD PC

Provider Business Mailing Address
First Line	:	2501 E SOUTHERN AVE
Second Line	:	SUITE 22
City	:	TEMPE
State	:	AZ
Zip	:	85282-7669
Country	:	US
Telephone Number	:	480-838-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 E SOUTHERN AVE
Second Line	:	SUITE 22
City	:	TEMPE
State	:	AZ
Zip	:	85282-7669
Country	:	US
Telephone Number	:	480-838-1111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CYNTHA J ANNESKI
Credential	:	MD
Telephone Number	:	480-838-1111

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/22/2020

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