| Doctor Name: | DR. EDWARD F COSENTINO |
| NPI Number: | 1396716593 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 2089 |
| Business Practice Address: | 603 N State St Girard, OH - 44420 |
| Business Phone Number: | 3305454993 |
| Business Fax Number: | 3305455200 |
| Mailing Address: | 603 N State St, GIRARD |
| State: | OH |
| Postal Code: | 44420 |
| Phone Number: | 3305454993 |
| Fax Number: | 3305455200 |
| NPI Enumeration Date: | 01/27/2006 |
| NPI Last Update Date: | 04/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 2089 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |