Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 20291 | AZ |
N | 208600000X | Surgeon | 20291 | AZ |
Y | 2086S0120X | Pediatric Surgery | 20291 | AZ |
NPI | 1427037753 |
---|---|
Provider Name | Catherine M Cosentino |
First Address | Tucson, AZ 85751-1235 |
Second Address | Tucson, AZ 85712-1337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 18/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F34739 | (02) |