Individual provider · Type 1 NPI
John Joseph Cosenza, APRN
Adult Health Nurse Practitioner · New London, CT
NPI number
1073620647
Active
Practice location
Va Clinic/uscga, 15 Mohegan Ave
New London, CT 06320
Fax (860) 437-1801
Mailing address
175 Ferry Rd, Unit 2
Old Saybrook, CT 06475-1406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | CT001144 (CT) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1073620647
John Joseph Cosenza, APRN's National Provider Identifier is 1073620647, issued on Aug 23, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New London, CT. The record was last updated on Jul 8, 2007.