ANDREW MARIO AGOSTA MD

Dr ANDREW MARIO AGOSTA MD is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 1984 from Wayne State University School Of Medicine.

Contact

51221 SCHOENHERR RD
SUITE 201
SHELBY TOWNSHIP
MI
483152718

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ANDREW MARIO AGOSTA MD Information

Npi 1093742439
Pac Id 7315044690
Professional Enrollment Id I20070522000080
Last Name AGOSTA
First Name ANDREW
Middle Name MARIO
Suffix
Gender M
Credential MD
Medical School Name WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1984
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1 UROLOGY
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties UROLOGY
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 51221 SCHOENHERR RD
Line 2 Street Address SUITE 201
Marker Of Address Line 2 Suppression
City SHELBY TOWNSHIP
State MI
Zip Code 483152718
Phone Number
Hospital Affiliation Ccn 1 230047
Hospital Affiliation Lbn 1 HENRY FORD MACOMB HOSPITAL
Hospital Affiliation Ccn 2 230269
Hospital Affiliation Lbn 2 BEAUMONT HOSPITAL, TROY
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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