Healthcare Provider Details

I. General information

NPI: 1194990382
Provider Name (Legal Business Name): ANA COJOCARU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 06/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 PLEASANT ST PRIMA CARE MEDICAL
FALL RIVER MA
02721-3005
US

IV. Provider business mailing address

277 PLEASANT ST PRIMA CARE MEDICAL
FALL RIVER MA
02721-3005
US

V. Phone/Fax

Practice location:
  • Phone: 508-676-3292
  • Fax:
Mailing address:
  • Phone: 508-676-3292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number241997
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number241997
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number241997
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: