Organization
ANTHONY COSENTINO MD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA PERAZZO (MEDICAL BILLER)
(415) 234-6100
Entity
Organization
Contact information
Practice address
450 STANYAN ST, SAN FRANCISCO, CA 94117-1019
(415) 750-5688
(415) 750-8149
Mailing address
PO BOX 1023, NOVATO, CA 94948-1023
(415) 234-6100
(415) 234-6500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00A177340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A177340
—
CA
Enumeration date
04/21/2009
Last updated
05/14/2009
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