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Organization

COLUZZI & TETEF MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARISA CASANOVA (CLIENT SERVICE REP)
(714) 619-5450
Entity
Organization

Contact information

Practice address
4746 BARRANCA PKWY, IRVINE, CA 92604-4728
(949) 653-9013
Mailing address
4746 BARRANCA PKWY, IRVINE, CA 92604-4728
(949) 653-9013

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6204840001
DME PTAN
CA
05
GR0105720
CA
01
P004444356
RAILROAD MEDICARE
CA
Enumeration date
07/25/2007
Last updated
06/26/2009
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