Ma Luciana Holgado-cocjin M.D.

NPI 1164407508 - Pediatrics - 208000000X

NPI Details
NPI 1164407508
Gender Female
Enumeration Date 12/08/2005
Last Updated 03/15/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
3310 W MAIN ST
SUITE 200
ST CHARLES IL, 60175-1000, US
Phone (630) 897-6044
Fax (630) 897-0180
Business Location
PO BOX 657
ST CHARLES IL, 60174-0657, US
Phone (630) 897-6044
Fax (630) 897-0180
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 36087662
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According to our database, Dr. Ma Luciana Holgado-cocjin M.D. NPI is 1164407508, taxonomy code is 208000000X and license number is 36087662, license state is located at Illinois. Ma Luciana Holgado-cocjin M.D. physically located at 3310 W Main St, St Charles IL, 60175-1000. NPI Number Ma Luciana Holgado-cocjin M.D. has the Individual type.

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1164407508 NPI number is provided on an as is basis without warranty of any kind. 1164407508 is maintained by the National Plan & Provider Enumeration System. The contents of Ma Luciana Holgado-cocjin M.D. are for informational purposes only.