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Individual

GINA MARIE COZZONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
255 W LANCASTER AVE, SUITE 104 MEDICAL BLDG I, PAOLI, PA 19301-1763
(484) 527-0404
(484) 527-0408
Mailing address
100 E. LANCASTER AVE, HEART PAVILION, MEZZANINE, WYNNEWOOD, PA 19096-3450
(484) 476-1000
(484) 476-9000

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA055451
PA

Other

Enumeration date
07/24/2008
Last updated
02/07/2017
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