Individual
NICHOLAS A. COSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 TELESTAR CT, #200, FALLS CHURCH, VA 22042-1260
(703) 573-3494
(703) 573-5353
Mailing address
2901 TELESTAR CT STE 200, FALLS CHURCH, VA 22042-1262
(703) 573-3494
(703) 573-5353
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101036034
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101036034
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031731100
—
DC
01
—
060034778
RAILROAD MEDICARE DC #
DC
01
—
060062640
RAILROAD MEDICARE VA #
VA
05
—
1649274622
—
VA
05
—
762561800
—
MD
Enumeration date
06/08/2005
Last updated
08/26/2021
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