Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 39369 | CA |
NPI | 1043723695 |
---|---|
Provider Name | Margaret Cosgrove |
First Address | Albany, CA 94706-2419 |
Second Address | Oakland, CA 94611-5730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2017 |
Last Update Date | 03/01/2022 |