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Individual
DR. KEITH E CANGELOSI
Active
Individual
DR. KEITH E CANGELOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
017231
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366048
—
LA
01
—
P00314748
RAILROAD MEDICARE
LA
Enumeration date
10/20/2005
Last updated
05/06/2016
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