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NPI Code Detail

MEDICARE: DOUGLAS G COSENTINO MD

MEDICARE:   DOUGLAS G COSENTINO  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
12085R0202XDiagnostic Radiology Physician07207MS

General Provider Information

NPI Number : 1992758379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS G COSENTINO MD
Provider Business Mailing Address
First Line : PO BOX 1527
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39566-1527
Country : US
Telephone Number : 228-875-0171
Fax Number : 228-875-0172
Provider Business Practice Location Address
First Line : 3535 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-5705
Country : US
Telephone Number : 228-818-4201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 07/21/2010

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Directions to “ DOUGLAS G COSENTINO MD” Practice Location

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