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Individual

DR. EDWARD WILLIAM COSS JR.

Active
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Individual

DR. EDWARD WILLIAM COSS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19584
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001195841
CT
01
010019584CT01
BLUE CROSS BLUE SHIELD
CT
01
0V8993
HEALTHNET
CT
01
111210
ANTHEM
CT
01
163373
MHN
CT
Enumeration date
03/12/2007
Last updated
01/30/2012
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