Individual
MR. DOMINICK GEORGE COSMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
344 WAGNER RD, NEW MILFORD, PA 18834-8159
(570) 840-2735
Mailing address
344 WAGNER RD, NEW MILFORD, PA 18834-8159
(570) 840-2735
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
616117-1
NY
Other
Enumeration date
10/29/2013
Last updated
11/07/2013
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