Individual
KEVIN COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 MOUNT PROSPECT AVE, SUITE 104, CLIFTON, NJ 07013-1900
(973) 928-1325
(973) 365-2371
Mailing address
50 MOUNT PROSPECT AVE, SUITE 104, CLIFTON, NJ 07013-1900
(973) 928-1325
(973) 365-2371
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00305200
NJ
Other
Enumeration date
05/29/2013
Last updated
02/25/2025
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