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Individual

DR. MICHAEL R. COZZA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1030 BEAVER HOLLOW ROAD, BEAVER, PA 15009-3128
(724) 770-0410
(724) 770-0414
Mailing address
1030 BEAVER HOLLOW ROAD, BEAVER, PA 15009-3128
(724) 770-0410
(724) 770-0414

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD035940L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009759130001
PA
Enumeration date
08/08/2006
Last updated
10/24/2011
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