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NPI 1770553042

NPI 1770553042 : STEVE G COZAMANIS D.O. : BARNEGAT, NJ

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General NPI Number Information
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    NPI Number           |    1770553042
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    Entity Type          |    Individual 
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    Provider Name        |    STEVE G COZAMANIS D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/26/2006
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    Last Update Date     |    05/16/2025
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Provider Practice Location Address
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    Address Line         |    912 W BAY AVE 
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    City                 |    BARNEGAT
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    State                |    NJ
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    Zip                  |    08005-1289
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    Country              |    US
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    Telephone            |    609-994-5688
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    Fax                  |    609-607-4025
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Provider Business Mailing Address
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    Address Line         |    912 W BAY AVE 
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    City                 |    BARNEGAT
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    State                |    NJ
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    Zip                  |    08005-1289
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    Country              |    US
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    Telephone            |    609-994-5688
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    Fax                  |    609-607-4025
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    C2-0005697
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    25MB09098500
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    License Number State |    NJ
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