Individual
DR. EDWARD WILLIAM COSS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
196 PARKWAY S, SUITE 201, WATERFORD, CT 06385-1234
(860) 443-1111
(860) 443-7090
Mailing address
196 PARKWAY S, SUITE 201, WATERFORD, CT 06385-1234
(860) 443-1111
(860) 443-7090
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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