Individual
DR. LOUIS MARK COSENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
18409 MCKERNON WAY, POOLESVILLE, MD 20837-2505
(301) 349-5691
Mailing address
18409 MCKERNON WAY, POOLESVILLE, MD 20837-2505
(301) 349-5691
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000772
VA
Other
Enumeration date
05/14/2007
Last updated
10/26/2011
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