Organization
SUSAN COCOZIELLO MD LLC
Active
Other names
susan cocoziello md llc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN PAKRAVAN COCOZIELLO M.D (OWNER)
(201) 794-7717
Entity
Organization
Contact information
Practice address
1 BROADWAY, SUITE 303, ELMWOOD PARK, NJ 07407-1845
(201) 794-7717
(201) 794-0335
Mailing address
1 BROADWAY, SUITE 303, ELMWOOD PARK, NJ 07407-1842
(201) 794-7717
(201) 794-0335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MB25981
NJ
Other
Enumeration date
03/20/2013
Last updated
08/09/2013
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