Individual
ALFONSO CUOZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 W WELSH POOL RD, SUITE 102 N, EXTON, PA 19341
(610) 363-7780
Mailing address
80 W WELSH POOL RD, SUITE 102 N, EXTON, PA 19341
(610) 363-7780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD033841L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116778
BLUE SHIELD OF PA
PA
01
—
4088845
AETNA
PA
Enumeration date
09/15/2006
Last updated
07/08/2007
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