Individual
CAROLYN MORRELL KOSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
711 COTTAGE GROVE RD, COTTAGE GROVE CARDIOLOGY, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 769-5009
Mailing address
711 COTTAGE GROVE RD, COTTAGE GROVE CARDIOLOGY, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 769-5009
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
031444
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001314442
—
CT
01
—
060001102
MEDICARE
CT
01
—
060032218
RAILROAD MEDICARE
CT
Enumeration date
03/10/2006
Last updated
09/07/2016
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