Healthcare Provider Details

I. General information

NPI: 1356315519
Provider Name (Legal Business Name): JAMES F COZZARELLI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 08/21/2020
Certification Date: 08/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 EAGLE AVE
OCEAN NJ
07712-7631
US

IV. Provider business mailing address

1200 EAGLE AVE
OCEAN NJ
07712-7631
US

V. Phone/Fax

Practice location:
  • Phone: 732-660-6200
  • Fax: 732-660-6201
Mailing address:
  • Phone: 732-660-6200
  • Fax: 732-660-6201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMA07788000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: