Individual
DAVID J COZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
761 NORMAN DR, LEBANON, PA 17042-7497
(717) 376-1180
(717) 273-6937
Mailing address
PO BOX 300, LEBANON, PA 17042-0300
(717) 270-7780
(717) 274-9746
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2008013979
MO
207RG0100X
Gastroenterology Physician
OS017342
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063678738
—
MO
05
—
173370003
—
AR
01
—
P00653961
RAILROAD MEDICARE
—
Enumeration date
08/01/2008
Last updated
11/19/2014
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