Provider Demographics
NPI:1073044715
Name:CONROY, PATRICIA COSTACURTA (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:COSTACURTA
Last Name:CONROY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:WANDERLEY
Other - Last Name:COSTACURTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:513 PARNASSUS AVE
Mailing Address - Street 2:UCSF - DEPARTMENT OF SURGERY S-321
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0470
Mailing Address - Country:US
Mailing Address - Phone:339-368-0699
Mailing Address - Fax:
Practice Address - Street 1:513 PARNASSUS AVE,
Practice Address - Street 2:UCSF - DEPARTMENT OF SURGERY, S-321
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0470
Practice Address - Country:US
Practice Address - Phone:339-368-0699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA160726208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery