| NPI | 1982685376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW J COSENZA President 740-779-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2007-08-27 |