Individual
DR. RAMIN BARRY COCOZIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12-15 BROADWAY, SUITE E, FAIR LAWN, NJ 07410-2031
(201) 794-0910
(201) 794-2164
Mailing address
21 CHRISTOPHER PL, SADDLE RIVER, NJ 07458-2903
(201) 794-0910
(201) 794-0923
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA061851
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000035500
AMERICHOICE
NJ
01
—
0201743
GHI
NJ
01
—
0809342000
AMERIHEALTH
NJ
01
—
0K1480
HEALTH NET
NJ
01
—
1042204
HORIZON NJ HEALTH
NJ
01
—
12603
UHP
NJ
01
—
14138
AMERIGROUP
NJ
01
—
3057336007
CIGNA
NJ
01
—
537197
AETNA
NJ
05
—
6564101
—
NJ
01
—
P394261
OXFORD
NJ
Enumeration date
07/10/2006
Last updated
08/29/2007
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