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Individual

ROBERTO M COSSIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
322 STEPHENSON AVE, SAVANNAH, GA 31405-5929
(912) 354-3130
Mailing address
322 STEPHENSON AVE, SUITE A, SAVANNAH, GA 31405-5998
(912) 354-3130
(912) 354-5860

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036357
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000532727A
GA
Enumeration date
07/11/2006
Last updated
11/07/2012
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