Individual
DR. ALEX M COCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1812 W ROYALE DR, MUNCIE, IN 47304-2243
(765) 284-7703
(765) 284-6838
Mailing address
221 N CELIA AVE, MUNCIE, IN 47303-4609
(765) 282-8905
(765) 751-1450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01059700A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200504320
—
IN
01
—
P00915791
RR MEDICARE
IN
Enumeration date
02/23/2006
Last updated
05/20/2011
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