Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2089 | OH |
Y | 222Z00000X | Podiatrist | 2089 | OH |
N | 213EP1101X | Primary Podiatric Medicine | 2089 | OH |
NPI | 1396716593 |
---|---|
Provider Name | Dr. Edward F Cosentino |
First Address | Girard, OH 44420 |
Second Address | Girard, OH 44420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 25/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000025936 | BLUE CROSS BLUE SHIELD (01) | OH |
0576005 | (05) | OH |
480010608 | RAIL ROAD MEDICARE (01) | OH |
U27585 | (02) |