Provider Demographics
NPI:1730114653
Name:CSETE, MARIE (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:
Last Name:CSETE
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 E COLORADO BLVD APT 1520
Mailing Address - Street 2:APT 1530
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2256
Mailing Address - Country:US
Mailing Address - Phone:415-310-6504
Mailing Address - Fax:
Practice Address - Street 1:278 E COLORADO BLVD APT 1520
Practice Address - Street 2:APT 1530
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2256
Practice Address - Country:US
Practice Address - Phone:415-310-6504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA051922207L00000X
CAG60152207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E68948Medicare UPIN