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Individual

DR. ENZO COSENTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3449 WILKENS AVE, SUITE 200, BALTIMORE, MD 21229
(410) 646-2323
(410) 644-6418
Mailing address
3449 WILKENS AVE, SUITE 200, BALTIMORE, MD 21229-5281
(410) 646-2323
(410) 644-6418

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D-23539
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
790201800
MD
Enumeration date
03/21/2006
Last updated
08/16/2018
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