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Individual
CARMEN D COSME
Active
Individual
CARMEN D COSME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10120
PR
208D00000X
General Practice Physician
Primary
4301080986
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498172
—
AZ
Enumeration date
05/11/2006
Last updated
05/04/2023
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