Organization
MICHAEL J DECOSMO DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH DECOSMO DO (PRESIDENT)
(856) 662-7883
Entity
Organization
Contact information
Practice address
2201 CHAPEL AVE WEST, SUITE 102, CHERRY HILL, NJ 08002
(856) 662-7883
(856) 662-5838
Mailing address
2201 CHAPEL AVE WEST, SUITE 102, CHERRY HILL, NJ 08002
(856) 662-7883
(856) 662-5838
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MB02598600
NJ
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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