Individual
DR. SUZANNE M COSMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
12 W CENTRAL ST, NATICK, MA 01760-4591
(508) 650-9794
(508) 650-9273
Mailing address
12 W CENTRAL ST, NATICK, MA 01760-4591
(508) 650-9794
(508) 650-9273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1966
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1611178
—
MA
01
—
Y36486
BCBS
MA
Enumeration date
01/26/2007
Last updated
07/08/2007
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