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Individual
MICHAEL L CENSULLO
Active
Individual
MICHAEL L CENSULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA07567900
NJ
2085R0202X
Diagnostic Radiology Physician
L8643
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA07567900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007528
—
NJ
05
—
02957844
—
NY
05
—
166149801
—
TX
01
—
166149802
CSHCN
TX
01
—
8F9479
BCBS
TX
Enumeration date
05/31/2006
Last updated
01/06/2011
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