Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 01035965 | IN |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 01035965A | IN |
NPI | 1083666580 |
---|---|
Provider Name | Dr. Michael F Coscia |
First Address | Indianapolis, IN 46278-1381 |
Second Address | Indianapolis, IN 46278-1381 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 19/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200004720 | (05) | IN |
E29028 | (02) | IN |