Individual
DR. EDWARD F COSENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
603 N STATE ST, GIRARD, OH 44420
(330) 545-4993
(330) 545-5200
Mailing address
603 N STATE ST, GIRARD, OH 44420
(330) 545-4993
(330) 545-5200
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2089
OH
213EP1101X
Primary Podiatric Medicine Podiatrist
2089
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000025936
BLUE CROSS BLUE SHIELD
OH
05
—
0576005
—
OH
01
—
480010608
RAIL ROAD MEDICARE
OH
Enumeration date
01/27/2006
Last updated
04/25/2008
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