Provider Demographics
NPI:1750322178
Name:CENIZAL, MARY JOSELINE GASATAYA (MD)
Entity type:Individual
Prefix:DR
First Name:MARY JOSELINE
Middle Name:GASATAYA
Last Name:CENIZAL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:137 E ELLIOT RD UNIT 3151
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85299-6850
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:137 E ELLIOT RD UNIT 3151
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85299-6850
Practice Address - Country:US
Practice Address - Phone:763-330-8704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2025-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA112709207RI0200X
AZ34887207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease