Cocilovo, Costanza

Cocilovo, Costanza is an individual health care provider with primary practice located at 8081 Innovation Park Dr , Fairfax VA 22031-4867. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Cocilovo, Costanza can be contacted via phone (571) 472-4724.

Contact Information

Primary practice address
8081 Innovation Park Dr Fairfax VA 22031-4867
Fax: (571) 472-0241
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 32878 District of Columbia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101247394 Virginia

Profile Details

NPI number 1285663153
LBN Legal business name Cocilovo, Costanza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated May 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285663153 NPPES
District of Columbia Other P00457611 MEDICARE RR

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