Organization
SOUTHERN OHIO ENT ASSOCIATES INC
Active
Other names
Mathew J Cosenza DO
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW J COSENZA DO (PRESIDENT)
(740) 779-4393
Entity
Organization
Contact information
Practice address
4439 STATE ROUTE 159, STE 100, CHILLICOTHE, OH 45601-8207
(740) 779-4393
(740) 779-4399
Mailing address
4439 STATE ROUTE 159, STE 100, CHILLICOTHE, OH 45601-8207
(740) 779-4393
(740) 779-4399
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000260433
ANTHEM BLUE CROSS
OH
01
—
8179861
CIGNA
—
Enumeration date
11/11/2005
Last updated
08/27/2007
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