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Individual

DR. JOHN COZZARELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
155 BELLEVILLE AVE, BELLEVILLE, NJ 07109-2407
(973) 450-0878
(973) 450-1013
Mailing address
93 N SPRING GARDEN AVE, NUTLEY, NJ 07110-1529
(973) 667-7096

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00188800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5230403
NJ
Enumeration date
08/18/2006
Last updated
07/08/2007
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