Individual
PATRICIA COSSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
64 WELLAND RD, BROOKLINE, MA 02445-4504
(617) 738-4410
Mailing address
64 WELLAND RD, BROOKLINE, MA 02445-4504
(617) 738-4410
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41482
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009324
VALUE OPTIONS
MA
01
—
041482
SECURE HORIZONS
MA
01
—
042659047
TEAMSTERS
MA
01
—
130919
MAGELLAN
MA
01
—
166905000
MAGELLAN
MA
01
—
22212
HARVARD PILGRIM
MA
01
—
302601
BC RI
RI
05
—
3044963
—
MA
01
—
715933
TUFTS
MA
01
—
A019077
PACIFICARE
MA
01
—
M09872
BLUECROSS
MA
Enumeration date
12/01/2006
Last updated
10/15/2009
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