Coss, Wanda I
Coss, Wanda I is an individual health care provider with primary practice located at 520 Stokes Rd Ironstone Building B10, Medford NJ 08055-2904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Coss, Wanda I can be contacted via phone (609) 654-9112.Contact Information
Primary practice address
520 Stokes Rd Ironstone Building B10
Medford NJ 08055-2904
Phone: (609) 654-9112
Fax: (609) 654-7404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA06285700 | New Jersey |
Profile Details
| NPI number | 1326025404 |
|---|---|
| LBN Legal business name | Coss, Wanda I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jan 16th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326025404 | NPPES |
| New Jersey | MEDICAID | 6695809 |
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