Individual
ANDREW CORSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 802-6304
Mailing address
450 E 96TH ST STE 200, INDIANAPOLIS, IN 46240-3797
(317) 802-6304
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01058521
IN
207L00000X
Anesthesiology Physician
01058521A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200497420
—
IN
Enumeration date
11/02/2005
Last updated
03/17/2021
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