Provider Demographics
NPI:1326587262
Name:COLOGNESI-CAPOGROSSI, MAURIZIO (MD)
Entity Type:Individual
Prefix:DR
First Name:MAURIZIO
Middle Name:
Last Name:COLOGNESI-CAPOGROSSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9910 FRANKLIN SQUARE DR STE 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:
Practice Address - Street 1:301 MASON F LORD DRIVE
Practice Address - Street 2:BLDG 301, SUITE 2400
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224
Practice Address - Country:US
Practice Address - Phone:410-550-9227
Practice Address - Fax:410-550-1183
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0028829207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease