Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 51253 | CT |
NPI | 1417936139 |
---|---|
Provider Name | Dr. Jonathan Cosin |
First Address | New Britain, CT 06052-1743 |
Second Address | New Britain, CT 06052-1743 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 12/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006210856 | (05) | DC |
025810900 | (05) | DC |
699277300 | (05) | DC |
G09418 | (02) | DC |