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Individual

JESSICA A COSENZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
281 LINCOLN ST, DEPARTMENT OF DERMATOLOGY, WORCESTER, MA 01605-2138
(508) 334-5979
(508) 334-5981
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1234
MA

Other

Enumeration date
10/16/2006
Last updated
08/05/2011
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