Individual
DR. WANDA I COSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 STOKES RD, IRONSTONE BUILDING B10, MEDFORD, NJ 08055-2904
(609) 654-9112
(609) 654-7404
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06285700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6695809
—
NJ
Enumeration date
12/29/2005
Last updated
01/16/2013
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