Individual
DR. NORMA E AGOSTO-MAURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
4731
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068347
BLUE CROSS
—
01
—
601532
MMM CIGNA CANADA LIFE TRI
—
01
—
A174
IMC CIGNA CANADA LIFE TRI
—
Enumeration date
05/03/2006
Last updated
04/17/2020
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