Provider Demographics
NPI:1962886549
Name:SCOTT F. COSENZA
Entity type:Organization
Organization Name:SCOTT F. COSENZA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:COSENZA
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:301-934-3220
Mailing Address - Street 1:6460 CRAIN HWY
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-4260
Mailing Address - Country:US
Mailing Address - Phone:301-934-3220
Mailing Address - Fax:301-934-2941
Practice Address - Street 1:6460 CRAIN HWY
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-4260
Practice Address - Country:US
Practice Address - Phone:301-934-3220
Practice Address - Fax:301-934-2941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1842282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital