Individual
MARIA R COCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 AVONDALE AVE, COLUMBUS, OH 43222-1411
(614) 228-3911
Mailing address
PO BOX 23997, COLUMBUS, OH 43223-0997
(614) 228-3911
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35054166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804688
—
OH
Enumeration date
08/22/2006
Last updated
07/08/2007
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