Individual
MR. JOHN JOSEPH COSENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
VA CLINIC/USCGA, 15 MOHEGAN AVE, NEW LONDON, CT 06320
(860) 437-3611
(860) 437-1801
Mailing address
175 FERRY RD, UNIT 2, OLD SAYBROOK, CT 06475-1406
(860) 388-9313
(860) 437-3601
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CT001144
CT
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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