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CAROL K FOSSO MD

Allergy

Indianapolis, Indiana

Provider NPI: 1356332001

Provider Information:
 CAROL K FOSSO MD


Practice Location:
8402 HARCOURT RD #606 INDIANAPOLIS, IN 46260 US
Tel: 317-872-4213  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
IN1037197

Other Provider Identifiers:

IssuerNumberStateType
100132220IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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