| NPI | 1023201928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ANTHONY COSENTINO Owner/President 740-779-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34003733) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2011-09-07 |