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Individual

DR. CRISTINA ROSE MARCHESANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P4080
TX
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
P4080
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306370303
TX
Enumeration date
08/09/2012
Last updated
03/30/2016
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