Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD-44300 | IA |
N | 207VE0102X | Reproductive Endocrinologist | MD-44300 | IA |
NPI | 1376980524 |
---|---|
Provider Name | Dr. Abigail Catherine Mancuso |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2013 |
Last Update Date | 28/07/2020 |