Individual provider · Type 1 NPI

Gina Marie Cozzone

Surgical Physician Assistant · Paoli, PA

NPI number 1366607780 Active

Practice location

255 W Lancaster Ave, Suite 104 Medical Bldg I
Paoli, PA 19301-1763

Fax (484) 527-0408

Mailing address

100 E. Lancaster Ave, Heart Pavilion, Mezzanine
Wynnewood, PA 19096-3450

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA055451 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1366607780

Gina Marie Cozzone's National Provider Identifier is 1366607780, issued on Jul 24, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Paoli, PA. The record was last updated on Feb 7, 2017.