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Individual
VICTOR MICHAEL COSCOLLUELA GAZA
Active
Individual
VICTOR MICHAEL COSCOLLUELA GAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052248
NY
225100000X
Physical Therapist
40QA02290100
NJ
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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