Individual
ANTHONY J COSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17525 RIVER RD, NOBLESVILLE, IN 46062-8528
(317) 773-7711
(317) 776-6561
Mailing address
17525 RIVER RD, NOBLESVILLE, IN 46062-8528
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01027752A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01027752A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01027752A
IN
207UN0901X
Nuclear Cardiology Physician
01027752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100319280
—
IN
Enumeration date
07/14/2005
Last updated
04/29/2024
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