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NPI Code Detail

MEDICARE: DR. JOHN JOSEPH CANGELOSI MD

MEDICARE: DR. JOHN JOSEPH CANGELOSI 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
1207ZD0900XDermatopathology (Pathology) Physician33120WV
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician33120WV
3207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianM7084TX

General Provider Information

NPI Number : 1831393438
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN JOSEPH CANGELOSI MD
Provider Business Mailing Address
First Line : 4131 DIRECTORS ROW
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8703
Country : US
Telephone Number : 877-697-2447
Fax Number : 855-697-2447
Provider Business Practice Location Address
First Line : 4131 DIRECTORS ROW
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8703
Country : US
Telephone Number : 877-697-2447
Fax Number : 855-697-2447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 08/20/2024

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