Individual
DR. A BENEDICT COSIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, WHT 515, BOSTON, MA 02114-2621
(617) 726-8256
(617) 726-8137
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8256
(617) 726-8137
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31332
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002981
—
MA
01
—
708684
TUFTS HEALTH PLAN
MA
01
—
M07382
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
08/01/2012
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